Individual
JULIE B KORNBLUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3931 1/2 RIVIERA DR, SAN DIEGO, CA 92109-5828
(800) 578-7906
(800) 878-5497
Mailing address
PO BOX 7, CONCORDVILLE, PA 19331-0007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7618
CA
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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