Provider Demographics
NPI:1154051324
Name:OYAN, JULIE J (OTR/L)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:J
Last Name:OYAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42103 N ANTHEM HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-1001
Mailing Address - Country:US
Mailing Address - Phone:805-218-4294
Mailing Address - Fax:
Practice Address - Street 1:42103 N ANTHEM HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-1001
Practice Address - Country:US
Practice Address - Phone:805-218-4294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-12
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-007642225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics