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Individual

MS. JULIE A NEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L , COTA

Contact information

Practice address
346 PRIVATE ROAD 2313 # 12, PROCTORVILLE, OH 45669-8140
(304) 939-1932
(740) 451-0854
Mailing address
346 PRIVATE ROAD 2313 # 12, PROCTORVILLE, OH 45669-8140
(304) 939-1932
(740) 451-0854

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
989
WV
225X00000X
Occupational Therapist
Primary
KY-R3210
KY
225X00000X
Occupational Therapist
OT.005883
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7503045000
WV
01
9640341
AETNA
WV
01
NE4240771
MEDICARE
Enumeration date
11/13/2006
Last updated
09/04/2015
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