Healthcare Provider Details

I. General information

NPI: 1285951699
Provider Name (Legal Business Name): JULIANA MARIE TUFANO OT/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2010
Last Update Date: 04/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W 3RD AVE STE 315
GRANDVIEW OH
43212-2843
US

IV. Provider business mailing address

1500 W 3RD AVE STE 315
GRANDVIEW OH
43212-2843
US

V. Phone/Fax

Practice location:
  • Phone: 614-595-9037
  • Fax: 614-448-4702
Mailing address:
  • Phone: 614-595-9037
  • Fax: 614-448-4702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number001618
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: