Healthcare Provider Details

I. General information

NPI: 1720260250
Provider Name (Legal Business Name): JULIE FRUCHEY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE MUNCY

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 11/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E WILSON BRIDGE RD
WORTHINGTON OH
43085-2823
US

IV. Provider business mailing address

200 E WILSON BRIDGE RD
WORTHINGTON OH
43085-2823
US

V. Phone/Fax

Practice location:
  • Phone: 614-355-8000
  • Fax: 614-355-8018
Mailing address:
  • Phone: 614-355-8000
  • Fax: 614-355-8018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: