Provider Demographics
NPI:1518659689
Name:DAUGHTRY, JUDITH H (OTD)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:H
Last Name:DAUGHTRY
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:HALLIE
Other - Middle Name:
Other - Last Name:DAUGHTRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:147 39TH ST APT 247
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-3293
Mailing Address - Country:US
Mailing Address - Phone:703-297-9557
Mailing Address - Fax:
Practice Address - Street 1:147 39TH ST APT 247
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-3293
Practice Address - Country:US
Practice Address - Phone:703-297-9557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist