Individual
JULIA WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4901 N SHORE DR, NORTH LITTLE ROCK, AR 72118-5293
(501) 791-3331
(501) 791-0294
Mailing address
4901 N SHORE DR, NORTH LITTLE ROCK, AR 72118-5293
(501) 791-3331
(501) 791-0294
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR345
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5S538
BLUE CROSS BLUE SHEILD
AR
Enumeration date
12/12/2006
Last updated
07/08/2007
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