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Individual

JULIE K BUEDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/CHT

Contact information

Practice address
5625 PEARL DR, SUITE 100, EVANSVILLE, IN 47712-8106
(812) 759-7493
(812) 401-2346
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(812) 476-0409
(812) 476-1016

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001535A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000178772
BLUE CROSS BLUE SHIELD
IN
05
200839340
IN
Enumeration date
12/05/2005
Last updated
11/30/2016
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