Individual
MISS JUDITH ANDREA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
144 35 175TH STREET, SPRINGFIELD GARDENS, NY 11413
(718) 712-5551
Mailing address
1570 ATHERTON AVE, ELMONT, NY 11003-2306
(516) 424-5122
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
NY
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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