Siravo, Judith R

Siravo, Judith R is an individual health care provider with primary practice located at 3124 N Swan Rd , Tucson AZ 85712-1227. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Siravo, Judith R can be contacted via phone (520) 363-3232.

Contact Information

Primary practice address
3124 N Swan Rd Tucson AZ 85712-1227
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OC002364L Pennsylvania

Profile Details

NPI number 1033107123
LBN Legal business name Siravo, Judith R
Credentials OTR L CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 16th, 2024 - about last year

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 1033107123 NPPES
Pennsylvania MEDICAID 1013432170001

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