Individual
JUDITH M WACHENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7201 ENGLISH DR, CINCINNATI, OH 45244-3147
(513) 871-4682
(513) 871-4682
Mailing address
PO BOX 9931, CINCINNATI, OH 45209-0931
(513) 871-4682
(513) 871-4682
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35059405
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0872499
—
OH
Enumeration date
10/11/2006
Last updated
05/19/2015
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