MEDICARE: MS. JULIANNE WERNER 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
1	225X00000X	Occupational Therapist	OT009642	OH

General Provider Information

NPI Number	:	1215476858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIANNE WERNER OTR/L

Provider Business Mailing Address
First Line	:	5571 BROMPTON CT
Second Line	:
City	:	MASON
State	:	OH
Zip	:	45040-7215
Country	:	US
Telephone Number	:	513-518-2283
Fax Number	:

Provider Business Practice Location Address
First Line	:	3464 SPRINGDALE RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-1303
Country	:	US
Telephone Number	:	513-741-4888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2017
Last Update Date	:	02/15/2017

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