Individual
JULIE LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
54445 N CIRCLE DRIVE, IDYLLWILD, CA 92549
(859) 396-0469
Mailing address
PO BOX 2421, IDYLLWILD, CA 92549-2421
(859) 396-0469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8331
CA
Other
Enumeration date
01/12/2021
Last updated
04/26/2026
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