Judith R Siravo
Occupational Therapist - Hand
2630 Holme Ave
Philadelphia
, Pennsylvania 19152-3004
Judith R Siravo
Occupational Therapist - Hand
2630 Holme Ave
Philadelphia
, Pennsylvania 19152-3004
(215) 992-4963
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Judith R Siravo
- 2630 Holme Ave
- Philadelphia, PA
- Zip : 19152-3004
- Fax : (215) 992-4963
- Phone : (215) 992-4975
Second Address
- Judith R Siravo
- 2630 Holme Ave
- Philadelphia, PA
- Zip : 19152-3004
- Fax : (215) 992-4963
- Phone : (215) 992-4975
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | OC002364L | PA |
National Provider Identifier
| NPI | 1033107123 |
|---|---|
| Provider Name | Judith R Siravo |
| First Address | Philadelphia, PA 19152-3004 |
| Second Address | Philadelphia, PA 19152-3004 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2005 |
| Last Update Date | 05/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013432170001 | (05) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.