Individual
JULIA TAYLOR BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., OTR/L
Contact information
Practice address
11838 BERNARDO PLAZA CT, SUITE 110, SAN DIEGO, CA 92128-2413
(858) 673-5437
(858) 673-5434
Mailing address
4180 LOUISIANA ST, APT.1A, SAN DIEGO, CA 92104-1663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
017583
NY
225X00000X
Occupational Therapist
Primary
13071
CA
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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