Healthcare Provider Details

I. General information

NPI: 1265156392
Provider Name (Legal Business Name): JULIA STORY HALLMAN MHSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 10/03/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11083 HAMILTON AVE
CINCINNATI OH
45231-1409
US

IV. Provider business mailing address

1110 CECELIA AVE
PARK HILLS KY
41011-2814
US

V. Phone/Fax

Practice location:
  • Phone: 513-674-4200
  • Fax:
Mailing address:
  • Phone: 859-310-2302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT008810
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: