Healthcare Provider Details

I. General information

NPI: 1871271932
Provider Name (Legal Business Name): JULIE PAL BS, OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10730 NALL AVE STE 200
OVERLAND PARK KS
66211-1285
US

IV. Provider business mailing address

21703 W 100TH TER
LENEXA KS
66220-3752
US

V. Phone/Fax

Practice location:
  • Phone: 913-574-1496
  • Fax:
Mailing address:
  • Phone: 913-488-1988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number17-02109
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: