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NPI Code Detail

MEDICARE: MS. JULIE LYNN MILASICH OTR/L, CHT

MEDICARE:  MS. JULIE LYNN MILASICH  OTR/L, CHT
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
1225XH1200XHand Occupational Therapist00003194WA
2225X00000XOccupational Therapist00003194WA

General Provider Information

NPI Number : 1922652130
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE LYNN MILASICH OTR/L, CHT
Provider Business Mailing Address
First Line : 5928 N 28TH ST
Second Line :
City : TACOMA
State : WA
Zip : 98407-2350
Country : US
Telephone Number : 253-460-0966
Fax Number :
Provider Business Practice Location Address
First Line : 4970 AUTO CENTER WAY
Second Line :
City : BREMERTON
State : WA
Zip : 98312-3328
Country : US
Telephone Number : 360-627-7768
Fax Number : 360-627-8003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2019
Last Update Date : 07/25/2019

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Directions to “ MS. JULIE LYNN MILASICH OTR/L, CHT” Practice Location

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