Individual
JUDITH TVERGYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
470 CENTER ST, BLDG #2, CHARDON, OH 44024-1098
(440) 279-1709
Mailing address
13007 WOODIN RD, CHARDON, OH 44024-9180
(440) 477-7324
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA. 03196
OH
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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