Provider Demographics
NPI:1164993994
Name:NEEL, JULIE (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:NEEL
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 LINCOLN RD APT 505
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2273
Mailing Address - Country:US
Mailing Address - Phone:786-326-4342
Mailing Address - Fax:
Practice Address - Street 1:1300 LINCOLN RD APT 505
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2273
Practice Address - Country:US
Practice Address - Phone:786-326-4342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19665225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist