Individual
MISS JULIE JO CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
996BDS
OR
225XP0200X
Pediatric Occupational Therapist
1070199
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029051
OMAP NUMBER
OR
Enumeration date
09/27/2006
Last updated
03/17/2018
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