Individual
MRS. JUDITH ANN JUDGE-AVALLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T., R.N.
Contact information
Practice address
21 SOUNDVIEW DR N, LLOYD HARBOR, NY 11743-9799
(631) 425-7074
Mailing address
21 SOUNDVIEW DR N, LLOYD HARBOR, NY 11743-9799
(631) 425-7074
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
004943-1
NY
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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