Individual
JUDITH G WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 W END AVE, 23A, NEW YORK, NY 10023-4801
(914) 924-2366
Mailing address
200 W END AVE, 23A, NEW YORK, NY 10023-4801
(914) 924-2366
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001838-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001838-1 7000502
NY STATE DEPT OF EDUCATION
NY
Enumeration date
09/28/2010
Last updated
06/14/2011
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