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Individual

JULIA FRANCES WIRTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
9430 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6172
(360) 256-9827
(360) 256-9547
Mailing address
9430 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6172
(360) 256-9827
(360) 256-9547

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1286
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7006190
WA
Enumeration date
11/23/2005
Last updated
06/21/2010
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