Individual
MRS. JULIANNE THERESE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
125 E ELM AVE, STE. 103, FLAGSTAFF, AZ 86001-3258
(928) 779-1679
Mailing address
125 E ELM AVE, STE. 103, FLAGSTAFF, AZ 86001-3258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4743
AZ
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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