Individual
JULIANNE OLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, COTA/L, AHA
Contact information
Practice address
4821 MYRTLE OAK DR UNIT 12, NEW PORT RICHEY, FL 34653-5319
(727) 992-6814
Mailing address
4821 MYRTLE OAK DR UNIT 12, NEW PORT RICHEY, FL 34653-5319
(727) 992-6814
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
359830
FL
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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