Individual
JULIA WALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
3680 E IMPERIAL HWY STE 504, LYNWOOD, CA 90262-2659
(310) 807-7545
Mailing address
3528 DEL AMO BLVD, LAKEWOOD, CA 90712-3034
(310) 707-5581
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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