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NPI Code Detail

MEDICARE: JULIA FONTAINE OTR/L

MEDICARE: JULIA FONTAINE 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 : 1760340954
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA FONTAINE OTR/L
Provider Business Mailing Address
First Line : 4000 FAIRFAX DR APT 1403
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1134
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 888-884-2327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “ JULIA FONTAINE OTR/L” Practice Location

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