Provider Demographics
NPI:1235456419
Name:JULIE EVANS DBA ADVANCED OCCUPATIONAL THERAPY
Entity Type:Organization
Organization Name:JULIE EVANS DBA ADVANCED OCCUPATIONAL THERAPY
Other - Org Name:ADVANCED OCCUPATIONAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OCCUPATIONAL THERAPIS
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, CHT
Authorized Official - Phone:559-903-2386
Mailing Address - Street 1:7108 N FRESNO ST
Mailing Address - Street 2:SUITE 380
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2938
Mailing Address - Country:US
Mailing Address - Phone:559-903-2386
Mailing Address - Fax:559-451-0564
Practice Address - Street 1:7108 N FRESNO ST
Practice Address - Street 2:SUITE 380
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2938
Practice Address - Country:US
Practice Address - Phone:559-903-2386
Practice Address - Fax:559-451-0564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT8087225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6399460001Medicare NSC