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Individual

JULIE POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1622 SAN CARLOS AVE # STTEB, SAN CARLOS, CA 94070-2059
(650) 206-9468
Mailing address
1514 BUDD CT, SAN MATEO, CA 94403-5536

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
26385
CA

Other

Enumeration date
05/17/2024
Last updated
05/17/2024
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