Individual
JUDELANDE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2035 S 4TH ST, PHILADELPHIA, PA 19148-2550
(267) 471-9583
Mailing address
1304 UNRUH AVE, PHILADELPHIA, PA 19111-4920
(267) 471-9583
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
OP010293
PA
Other
Enumeration date
02/02/2020
Last updated
08/29/2022
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