| Doctor Name: | MRS. VIDA MARIA JUODAITIS |
| NPI Number: | 1447473087 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 8795 |
| Business Practice Address: | 56 Boyden Rd Holden, MA - 015202570 |
| Business Phone Number: | 5088291210 |
| Business Fax Number: | |
| Mailing Address: | 72 Easter Brook Rd, LUNENBURG |
| State: | MA |
| Postal Code: | 014621677 |
| Phone Number: | 9785824982 |
| Fax Number: | 9785825592 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 8795 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |