Provider Demographics
NPI:1831671312
Name:PURNELL, JULIE WARD (OTR)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:WARD
Last Name:PURNELL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 CENTRAL EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:LAMPASAS
Mailing Address - State:TX
Mailing Address - Zip Code:76550
Mailing Address - Country:US
Mailing Address - Phone:512-556-8827
Mailing Address - Fax:
Practice Address - Street 1:901 PLUM STREET
Practice Address - Street 2:
Practice Address - City:LAMPASAS
Practice Address - State:TX
Practice Address - Zip Code:76550
Practice Address - Country:US
Practice Address - Phone:512-822-3321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102350225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist