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Individual

MS. JULIE DENICIA ERB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
432 OAK ST, GRAHAM, TX 76450-2522
(940) 549-0788
(940) 549-0788
Mailing address
432 OAK ST, GRAHAM, TX 76450-2522
(940) 549-0788
(940) 549-0788

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104500
TX
225XP0200X
Pediatric Occupational Therapist
104500
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004884501
TX
Enumeration date
06/20/2005
Last updated
01/18/2013
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