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Individual

MRS. JULIE V CRUTCHFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
1120 VIA CALLEJON, STE B, SAN CLEMENTE, CA 92673-6213
(949) 498-5100
Mailing address
501 CORTE DEL ORO, SAN CLEMENTE, CA 92673-6902
(813) 385-7628

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
14651
CA
225XP0200X
Pediatric Occupational Therapist
OT 13384
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
208983851
BEACH KIDS THERAPY CENTER, INC
CA
01
Z171F
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
11/19/2008
Last updated
10/14/2025
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