Provider Demographics
NPI:1558943993
Name:ABRAM, JULIANNA (OTR/L, ECHM)
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:ABRAM
Suffix:
Gender:F
Credentials:OTR/L, ECHM
Other - Prefix:
Other - First Name:JULIANNA
Other - Middle Name:
Other - Last Name:WALLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, ECHM
Mailing Address - Street 1:3521 IVY CREST WAY
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-4475
Mailing Address - Country:US
Mailing Address - Phone:678-205-7313
Mailing Address - Fax:
Practice Address - Street 1:477 PROMINENCE CT STE 100
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-6377
Practice Address - Country:US
Practice Address - Phone:401-216-9564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics