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Individual

MISS JULIE ANN ELLENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
510 8TH AVE NE STE 340, ISSAQUAH, WA 98029-5449
(425) 313-3055
(425) 313-3051
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 313-3055
(425) 313-3051

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT60302480
WA
225XH1200X
Hand Occupational Therapist
Primary
OT60302480
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2105652
WA
Enumeration date
07/24/2012
Last updated
02/02/2023
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