Individual
JULIE A JAVONILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
21711 256TH AVE SE, MAPLE VALLEY, WA 98038-7629
(253) 205-6067
Mailing address
15630 SE 262ND PL, COVINGTON, WA 98042
(253) 236-4298
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000828
WA
Other
Enumeration date
08/12/2011
Last updated
11/30/2023
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