Individual
JULIANNA WITTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1000 GREG KRUSCHEK AVENUE, NOME, AK 99762-0966
(907) 443-3311
Mailing address
11830 N 75TH ST UNIT 384, HYGIENE, CO 80533-7417
(808) 359-3374
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0004576
CO
225X00000X
Occupational Therapist
OT.16182
CA
225X00000X
Occupational Therapist
OT.60913624
WA
Other
Enumeration date
03/20/2018
Last updated
07/30/2025
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