Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 9147 | NC |
NPI | 1255736641 |
---|---|
Provider Name | Mrs. Julie Hall Dow |
First Address | Charlotte, NC 28262-7784 |
Second Address | Salisbury, NC 28147-8183 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2014 |
Last Update Date | 28/10/2014 |