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Individual

DR. JUDI M SCHACK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
10244 E COLONIAL DR, SUITE 202, ORLANDO, FL 32817-4374
(407) 282-1003
(407) 282-5560
Mailing address
10244 E COLONIAL DR, SUITE 202, ORLANDO, FL 32817-4374
(407) 282-1003
(407) 282-5560

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT0004841
FL
2251G0304X
Geriatric Physical Therapist
Primary
PT0004841
FL
2251S0007X
Sports Physical Therapist
PT0004841
FL
2251X0800X
Orthopedic Physical Therapist
PT0004841
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y2870
BCBS PREFERRED PROVIDER #
FL
Enumeration date
12/04/2005
Last updated
09/11/2025
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