Provider Demographics
NPI:1033216510
Name:OROZCO, JULIE H (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:JULIE
Middle Name:H
Last Name:OROZCO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:H
Other - Last Name:GLAUNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:500 W FORT ST
Mailing Address - Street 2:MAIL CODE(117)
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-4501
Mailing Address - Country:US
Mailing Address - Phone:208-422-1000
Mailing Address - Fax:208-422-1241
Practice Address - Street 1:500 W FORT ST
Practice Address - Street 2:MAIL CODE(117)
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-4501
Practice Address - Country:US
Practice Address - Phone:208-422-1000
Practice Address - Fax:208-422-1241
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDOT-297225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist