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NPI Code Detail

MEDICARE: MS. JULIE ANN GRANT OTR/L

MEDICARE:  MS. JULIE ANN GRANT  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT60541611WA

General Provider Information

NPI Number : 1124496310
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE ANN GRANT OTR/L
Provider Business Mailing Address
First Line : 4250 AURORA AVE N APT A301
Second Line :
City : SEATTLE
State : WA
Zip : 98103-9400
Country : US
Telephone Number : 206-920-9517
Fax Number :
Provider Business Practice Location Address
First Line : 4250 AURORA AVE N APT A301
Second Line :
City : SEATTLE
State : WA
Zip : 98103-9400
Country : US
Telephone Number : 206-920-9517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2015
Last Update Date : 09/04/2015

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Directions to “ MS. JULIE ANN GRANT OTR/L” Practice Location

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