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NPI Code Detail

MEDICARE: JULIE THOMAS CLOUD MOT, OTR/L

MEDICARE: JULIE THOMAS CLOUD MOT, 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 TherapistOT-04804OH

General Provider Information

NPI Number : 1831164540
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE THOMAS CLOUD MOT, OTR/L
Provider Business Mailing Address
First Line : 272 BENEDICT AVE
Second Line :
City : NORWALK
State : OH
Zip : 44857-2374
Country : US
Telephone Number : 419-668-8101
Fax Number : 419-660-2963
Provider Business Practice Location Address
First Line : 272 BENEDICT AVE
Second Line :
City : NORWALK
State : OH
Zip : 44857-2374
Country : US
Telephone Number : 419-668-8101
Fax Number : 419-660-2963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 05/15/2014

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