Individual
JULIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 DRAKE DR, BRIDGE CITY, TX 77611-4622
(832) 606-2017
Mailing address
1050 DRAKE DR, BRIDGE CITY, TX 77611-4622
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209266
TX
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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