Healthcare Provider Details

I. General information

NPI: 1205862059
Provider Name (Legal Business Name): JULIE ANN WELLS MS OTRL ATP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3306 JOG ROAD
GREENACRES FL
33467
US

IV. Provider business mailing address

4740 PORTOFINO WAY APT #303
WEST PALM BEACH FL
33409-8179
US

V. Phone/Fax

Practice location:
  • Phone: 561-697-2252
  • Fax:
Mailing address:
  • Phone: 561-697-2252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 9728
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT 9728
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: