Individual
JULIA ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
713 WALL ST, NORMAN, OK 73069-6360
(405) 857-2007
Mailing address
2751 24TH AVE NW APT 459, NORMAN, OK 73069-6708
(580) 334-6979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2199
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200840610A
—
OK
Enumeration date
01/14/2021
Last updated
01/14/2021
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