Healthcare Provider Details

I. General information

NPI: 1093298317
Provider Name (Legal Business Name): JULIA DARIYCHUK OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2018
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 NORIEGA ST
SAN FRANCISCO CA
94122-4046
US

IV. Provider business mailing address

33A DELMAR ST
SAN FRANCISCO CA
94117-4005
US

V. Phone/Fax

Practice location:
  • Phone: 650-731-5439
  • Fax:
Mailing address:
  • Phone: 717-598-8945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27589
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: