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NPI Code Detail

MEDICARE: JULIE W SOMMER MSOT, OTR/L

MEDICARE:   JULIE W SOMMER  MSOT, 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 Therapist2002024065MO

General Provider Information

NPI Number : 1801071816
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE W SOMMER MSOT, OTR/L
Provider Business Mailing Address
First Line : PO BOX 25223
Second Line :
City : CHRISTIANSTED
State : VI
Zip : 00824-1223
Country : US
Telephone Number : 340-277-4995
Fax Number :
Provider Business Practice Location Address
First Line : 5030 ANCHOR WAY STE 9
Second Line :
City : CHRISTIANSTED
State : VI
Zip : 00820-4692
Country : US
Telephone Number : 340-277-4995
Fax Number : 866-411-7667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2008
Last Update Date : 02/25/2019

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