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NPI Code Detail

MEDICARE: JULIE JUNG HEBERT OTR,L

MEDICARE: JULIE JUNG HEBERT 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 Therapist

General Provider Information

NPI Number : 1164642534
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE JUNG HEBERT OTR,L
Provider Business Mailing Address
First Line : 10676 GREEN MOUNTAIN CIR
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1525 N ROLLING RD
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1100
Country : US
Telephone Number : 469-556-3633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 07/08/2007

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