Individual
JULIA HELENE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1000
Mailing address
8095 N NEVA RD, POCATELLO, ID 83204-7003
(910) 916-3510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1437
ID
Other
Enumeration date
04/16/2022
Last updated
10/04/2022
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