Individual
BRENDEN THOMAS JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
104 COMBS AVE, WOODMERE, NY 11598-1431
(718) 962-5852
Mailing address
91 CAMBON AVE, SAINT JAMES, NY 11780-3001
(631) 258-3913
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023549
NY
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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