Provider Demographics
NPI:1235577081
Name:CARSTENS, JULIE A (MOTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:CARSTENS
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 N CARSTENS RD
Mailing Address - Street 2:
Mailing Address - City:REARDAN
Mailing Address - State:WA
Mailing Address - Zip Code:99029-9661
Mailing Address - Country:US
Mailing Address - Phone:509-796-5252
Mailing Address - Fax:
Practice Address - Street 1:12414 S ANDRUS RD
Practice Address - Street 2:
Practice Address - City:CHENEY
Practice Address - State:WA
Practice Address - Zip Code:99004-8607
Practice Address - Country:US
Practice Address - Phone:509-559-4507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00000383225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist