Provider Demographics
NPI:1417406042
Name:JULIEN, GABRIELA (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:GABRIELA
Middle Name:
Last Name:JULIEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8190 CLEARY BLVD
Mailing Address - Street 2:UNIT # 1903
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1380
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8190 CLEARY BLVD
Practice Address - Street 2:UNIT # 1903
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1380
Practice Address - Country:US
Practice Address - Phone:954-608-5148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA12316224Z00000X
FLOT20827225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant