Individual ProviderJudy LewOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3801 Miranda Ave, Palo Alto, CA 94304-1207(650) 493-5000PECOS EnrollmentBased on the most recent information from CMS, provider Judy Lew does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:58 AM.Profile DetailsProvider ID1598789828Provider TypeIndividualFull NameLew, JudyCredentialOTR/LGenderFemaleSole ProprietorNoEnumeration Date7/27/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address3801 Miranda Ave, Palo Alto, CA 94304-1207Phone(650) 493-5000FaxUnlisted FaxMailing LocationMailing Address3801 Miranda Ave, Palo Alto, CA 94304-1207Phone(650) 493-5000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseAA561340Provider IdentifiersIDDescriptionIssuerIDAA561340DescriptionOtherIssuerNATIONAL BOARD CERTIDOT 4661DescriptionOtherIssuerCA BOARD OF OT LICENSECalifornia