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Individual

JULIE ANN HULONGBAYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
207 MARSHALL DR, PERRY, FL 32347-1835
(850) 584-6334
Mailing address
2313 DEBORAH DR, VALDOSTA, GA 31602-2022
(229) 444-8593

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15093
FL

Other

Enumeration date
07/22/2019
Last updated
07/22/2019
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