Healthcare Provider Details

I. General information

NPI: 1619452026
Provider Name (Legal Business Name): JULIA ZERKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA MCBRIEN

II. Dates (important events)

Enumeration Date: 10/02/2018
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 NORTHLAND DR
BLOOMINGTON MN
55431
US

IV. Provider business mailing address

8100 NORTHLAND DRIVE
BLOOMINGTON MN
55431
US

V. Phone/Fax

Practice location:
  • Phone: 952-831-8742
  • Fax:
Mailing address:
  • Phone: 952-831-8742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number105784
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: