Provider Demographics
NPI:1811482136
Name:LOWENTHAL, JUDITH BELLA (OTR/L)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:BELLA
Last Name:LOWENTHAL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:BELLA
Other - Last Name:SELIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:7930 VILLA NOVA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1029
Mailing Address - Country:US
Mailing Address - Phone:917-943-4514
Mailing Address - Fax:
Practice Address - Street 1:7930 VILLA NOVA DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-1029
Practice Address - Country:US
Practice Address - Phone:917-943-4514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-28
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022619225X00000X
FLOT20913225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist