Provider Demographics
NPI:1174847057
Name:JUDD, FRANCES S (BSPT)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:S
Last Name:JUDD
Suffix:
Gender:F
Credentials:BSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1040 MOSS RD
Mailing Address - Street 2:
Mailing Address - City:COTATI
Mailing Address - State:CA
Mailing Address - Zip Code:94931-9717
Mailing Address - Country:US
Mailing Address - Phone:707-664-8919
Mailing Address - Fax:707-664-8919
Practice Address - Street 1:7695 DERBY LN
Practice Address - Street 2:
Practice Address - City:COTATI
Practice Address - State:CA
Practice Address - Zip Code:94931-9703
Practice Address - Country:US
Practice Address - Phone:707-664-8919
Practice Address - Fax:707-664-8919
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-20
Last Update Date:2010-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT5955225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist