Individual
MRS. JUDITH B. NYCHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4442 PIEDMONT AVE, OAKLAND, CA 94611-4231
(510) 388-3664
Mailing address
1805 BAY ST, ALAMEDA, CA 94501-1104
(510) 517-7951
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6479
CA
225XP0200X
Pediatric Occupational Therapist
6479
CA
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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