Individual
JULIANA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
595 S 14TH ST, SAN JOSE, CA 95112-2319
(408) 886-8837
Mailing address
595 S 14TH ST, SAN JOSE, CA 95112-2319
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14368
CA
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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