Individual
MRS. JULIE ANN ADOLPHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
245 NORTH ST, BRISTOL, VA 24201-3274
(276) 669-4711
Mailing address
5765 OLD SNAPPS FERRY RD, LIMESTONE, TN 37681-4241
(423) 257-8397
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
752
TN
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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