Individual
MRS. JULIETTE REINE PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6543 SE HAZEL ST, PORTLAND, OR 97206-9547
(708) 772-2599
Mailing address
6543 SE HAZEL ST, PORTLAND, OR 97206-9547
(708) 772-2599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.012529
IL
225X00000X
Occupational Therapist
Primary
OT18884
CA
Other
Enumeration date
06/23/2018
Last updated
04/03/2020
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