Individual
JULIE ANDREOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6109 BRAUN RD, MT PLEASANT, WI 53403-9409
(262) 977-6726
Mailing address
3811 8TH AVE, KENOSHA, WI 53140-5536
(262) 925-9438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
343742
OR
225X00000X
Occupational Therapist
Primary
5714-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343742
OCCUPATIONAL THERAPY LICENSE
OR
01
—
5714-26
OCCUPATIONAL THERAPY LICENSE
WI
Enumeration date
09/17/2013
Last updated
06/27/2023
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