Provider Demographics
NPI:1275831646
Name:CRAWFORD, JULIE A (CO T A)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:CO T A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 LIGHT WIND DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-4058
Mailing Address - Country:US
Mailing Address - Phone:361-218-1220
Mailing Address - Fax:
Practice Address - Street 1:4646 CORONA DR STE 260B
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4320
Practice Address - Country:US
Practice Address - Phone:281-364-9695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210963224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant