Individual
MRS. JUDITH JERICHO EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1931 WELBY WAY STE 3, TALLAHASSEE, FL 32308-4473
(850) 325-6301
Mailing address
1006 GROVELAND HILLS DR, TALLAHASSEE, FL 32317-7194
(850) 877-6006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 9343
FL
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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