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NPI Code Detail

MEDICARE: MRS. JULIE ANN HERALD MS OTR L

MEDICARE: MRS. JULIE ANN HERALD MS OTR L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist31003914AIN

General Provider Information

NPI Number : 1154476133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE ANN HERALD MS OTR L
Provider Business Mailing Address
First Line : 1595 S CALUMET RD STE 3
Second Line :
City : CHESTERTON
State : IN
Zip : 46304-2389
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1595 S CALUMET RD STE 3
Second Line :
City : CHESTERTON
State : IN
Zip : 46304-2389
Country : US
Telephone Number : 219-764-4888
Fax Number : 219-898-4258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 08/26/2024

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Directions to “ MRS. JULIE ANN HERALD MS OTR L” Practice Location

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