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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUDITH STAYBACK

Active

JUDITH STAYBACK is a Occupational Therapist healthcare provider located in SOUTH BEND, Indiana. NPI 1336755180 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SOUTH BEND, IN

Registration Details

NPI Number
1336755180
Provider Type
Individual
Gender
Female
NPI Issued
Sep 17, 2020 (5.8636619923804 yrs)
Last Updated
Sep 17, 2020

Practice Information

Address
53940 CARMICHAEL DR
SOUTH BEND, IN, 466351564
Browse IN providers · Browse ZIP 46635
Phone
5743356212
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in SOUTH BEND, IN

Name Credential NPI
MS. PAM WALKOWSKI P.T.A. 1447343058
MS. SARA CLARK PTA 1033202619
BRIDGET L SNIADECKI PTA 1124183579
TANYA M GOELLER PTA 1174720650
MARY TURCZYNSKI PTA 1821295098
BRETT MORTON PTA 1326245531
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.