Provider Demographics
NPI:1205862059
Name:WELLS, JULIE ANN (MS OTRL ATP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANN
Last Name:WELLS
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Gender:F
Credentials:MS OTRL ATP
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Mailing Address - Street 1:4740 PORTOFINO WAY
Mailing Address - Street 2:APT #303
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-8179
Mailing Address - Country:US
Mailing Address - Phone:561-697-2252
Mailing Address - Fax:
Practice Address - Street 1:3306 JOG ROAD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467
Practice Address - Country:US
Practice Address - Phone:561-697-2252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOT 9728225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Not Answered225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics