Individual
JULIA LANAE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 DISCOVERY BLVD, CEDAR PARK, TX 78613-2273
(512) 259-9993
Mailing address
1906 GOLDEN ARROW AVE, CEDAR PARK, TX 78613-7662
(512) 484-6582
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209838
OT
TX
Enumeration date
08/17/2018
Last updated
08/17/2018
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