Individual
JULIE VANANTWERP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
216 E 4TH ST, PORT ANGELES, WA 98362-3200
(360) 357-8575
Mailing address
PO BOX 3183, PORT ANGELES, WA 98362-0341
(616) 403-6632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 60108298
WA
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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