Provider Demographics
NPI:1174284079
Name:TIRKALANE, JUDIT SZALAY
Entity Type:Individual
Prefix:MS
First Name:JUDIT
Middle Name:SZALAY
Last Name:TIRKALANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 GRIBBLE DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41017-9755
Mailing Address - Country:US
Mailing Address - Phone:513-915-9727
Mailing Address - Fax:
Practice Address - Street 1:2001 GRIBBLE DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41017-9755
Practice Address - Country:US
Practice Address - Phone:513-915-9727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA008118224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant