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NPI Code Detail

MEDICARE: JUDITH R SIRAVO OTR L CHT

MEDICARE:   JUDITH R SIRAVO  OTR L CHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational TherapistOC002364LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033107123
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH R SIRAVO OTR L CHT
Provider Business Mailing Address
First Line : 3124 N SWAN RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1227
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3124 N SWAN RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1227
Country : US
Telephone Number : 520-363-3232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 07/16/2024

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Directions to “ JUDITH R SIRAVO OTR L CHT” Practice Location

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