Individual
JULIE ELNORA LOVERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10102 COBALT WAY, STOCKBRIDGE, GA 30281-7699
(910) 580-3912
Mailing address
3651 MARCLIFF RD, HOPE MILLS, NC 28348-2255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
7963
NC
225X00000X
Occupational Therapist
Primary
OT000617
GA
Other
Enumeration date
02/09/2012
Last updated
07/06/2017
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