Individual
JULIA KOWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
82 BENTON LN, GLASTONBURY, CT 06033-2309
(860) 256-9768
Mailing address
82 BENTON LN, GLASTONBURY, CT 06033-2309
(860) 256-9768
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
005745
CT
225X00000X
Occupational Therapist
Primary
5745
CT
225X00000X
Occupational Therapist
7481
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008122910
—
CT
Enumeration date
08/09/2022
Last updated
06/26/2025
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