Julie Anne Anderson

Individual provider Active NPI Pediatric Occupational Therapist · Puyallup, WA

NPI 1811233232 · NPPES record last updated Dec 13, 2012

Key facts

NPI
1811233232
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
00001861 (WA)
Practice address
1726 24TH Avenue CT SE
Puyallup, WA 98374-1497
Phone
(253) 845-8572
NPI assigned
Dec 13, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
00001861WAMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 00001861 WA Yes

Addresses

Primary practice location

1726 24TH Avenue CT SE
Puyallup, WA 98374-1497

Mailing address

1726 24TH Avenue CT SE
Puyallup, WA 98374-1497
Phone (253) 845-8572

Other providers in Puyallup, WA

All providers in Puyallup, WA · Pediatric Occupational Therapist in Washington

Sources for this page

Verify at the official NPI Registry.