Provider Demographics
NPI:1477744977
Name:JOWETT, JULIE A (OT/L , OTD)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:JOWETT
Suffix:
Gender:F
Credentials:OT/L , OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 PEACHTREE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-6727
Mailing Address - Country:US
Mailing Address - Phone:910-313-2111
Mailing Address - Fax:910-313-2119
Practice Address - Street 1:3803 PEACHTREE AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6727
Practice Address - Country:US
Practice Address - Phone:910-313-2111
Practice Address - Fax:910-313-2119
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6566225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist