Individual
JULIE K ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2830 W GLENDALE AVE, SUITE 28, PHOENIX, AZ 85051-8400
(602) 234-3941
Mailing address
2800 E BROADWAY BLVD, TUCSON, AZ 85716-5310
(602) 234-3941
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3406
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818195
—
AZ
05
—
919996
—
AZ
Enumeration date
02/07/2007
Last updated
04/20/2015
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