Individual
JUDY LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AA561340
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA561340
NATIONAL BOARD CERT
—
01
—
OT 4661
CA BOARD OF OT LICENSE
CA
Enumeration date
07/27/2006
Last updated
07/08/2007
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