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NPI Code Detail

MEDICARE: JULIE JENKINS OTR/L

MEDICARE: JULIE JENKINS 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 Therapist0119004938VA

General Provider Information

NPI Number : 1154645612
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE JENKINS OTR/L
Provider Business Mailing Address
First Line : 1241 N MAIN ST
Second Line :
City : HARRISONBURG
State : VA
Zip : 22802-4632
Country : US
Telephone Number : 540-434-1941
Fax Number :
Provider Business Practice Location Address
First Line : 463 E WASHINGTON ST
Second Line :
City : HARRISONBURG
State : VA
Zip : 22802-4853
Country : US
Telephone Number : 540-434-1941
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2010
Last Update Date : 05/08/2020

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