Individual
MS. JULIA SCOLNICK SPOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 LANCASTER AVE STE H, WILMINGTON, DE 19805-5232
(302) 778-0810
(302) 778-0812
Mailing address
2 W 10TH ST, MARCUS HOOK, PA 19061-4513
(610) 859-8850
(610) 672-9936
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
02080
MD
225XH1200X
Hand Occupational Therapist
OC002956L
PA
225XH1200X
Hand Occupational Therapist
Primary
U10000045
DE
225XP0200X
Pediatric Occupational Therapist
U10000045
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11934527
CAQH
—
Enumeration date
11/16/2006
Last updated
07/20/2011
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