Healthcare Provider Details

I. General information

NPI: 1134974850
Provider Name (Legal Business Name): JULIA ADAMS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1174 N LEATHERLEAF LOOP STE D
WASILLA AK
99654-6514
US

IV. Provider business mailing address

1174 N LEATHERLEAF LOOP STE D
WASILLA AK
99654-6514
US

V. Phone/Fax

Practice location:
  • Phone: 907-376-4880
  • Fax: 907-376-4885
Mailing address:
  • Phone: 907-376-4880
  • Fax: 907-376-4885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number17-04254
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: