Judd, Sherry Carolyn

Judd, Sherry Carolyn is an individual health care provider with primary practice located at 1315 Walnut , Texarkana TX 75501. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Judd, Sherry Carolyn can be contacted via phone (903) 794-2705.

Contact Information

Primary practice address
1315 Walnut Texarkana TX 75501
Phone: (903) 794-2705
Fax: (903) 793-1203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 105508 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 105508 Texas

Profile Details

NPI number 1992809248
LBN Legal business name Judd, Sherry Carolyn
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992809248 NPPES
Arkansas Other 98945 BCBS
Arkansas Other 80098T BCBS
Arkansas MEDICAID 02128961 BCBS

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