Individual
JULIE THAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2215 E HENRY AVE, TAMPA, FL 33610-4432
(813) 239-1179
(813) 237-3091
Mailing address
2215 E HENRY AVE, TAMPA, FL 33610-4432
(813) 239-1179
(813) 237-3091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 7820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 7820
OCCUPATIONAL THERAPY
FL
01
—
Z067S
BCBS
FL
Enumeration date
06/28/2006
Last updated
07/09/2007
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