Individual
JULIE CHRISTEN SOPHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1810 4TH ST SW STE 103A, WAVERLY, IA 50677-4389
(319) 352-1234
(319) 352-4655
Mailing address
1810 4TH ST SW STE 103A, WAVERLY, IA 50677-4389
(319) 352-1234
(319) 352-4655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002045
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665992
—
IA
Enumeration date
07/10/2012
Last updated
07/10/2012
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