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Individual

JULISSA LOYOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3010 CENTRAL CT, GRAND FORKS, ND 58201-3502
(973) 322-7500
(973) 322-7543
Mailing address
3010 CENTRAL CT, GRAND FORKS, ND 58201-3502
(908) 206-2230
(908) 206-2237

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
107932
MN
225X00000X
Occupational Therapist
112724
TX
225X00000X
Occupational Therapist
Primary
2214
ND
225X00000X
Occupational Therapist
Primary
46TR00420800
NJ

Other

Enumeration date
08/11/2006
Last updated
03/12/2026
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