Individual
JULIE WILLIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
10450 SHAKER DR, SUITE 113, COLUMBIA, MD 21046-1143
(410) 997-0037
Mailing address
10450 SHAKER DR, SUITE 113, COLUMBIA, MD 21046-1143
(410) 997-0037
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
07502
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07502
OCCUPATIONAL THERAPY LICENSE
MD
Enumeration date
09/10/2014
Last updated
06/23/2015
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