Individual
JUDITH T. MCCALLUM
Active
Individual
JUDITH T. MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000493
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119000493
OT LICENSE
VA
Enumeration date
05/05/2009
Last updated
05/05/2009
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