Individual
MRS. JULIE ALISON MISHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10605 CONCORD ST STE 102, KENSINGTON, MD 20895
(013) 933-5688
Mailing address
11613 GOWRIE CT, POTOMAC, MD 20854-3623
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0T905
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT905
OT LICENSE
DC
Enumeration date
11/15/2006
Last updated
07/11/2018
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