Provider Demographics
NPI:1205984903
Name:BRIGGS, JULIE A (OTR L)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:MOSES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR L
Mailing Address - Street 1:992 NW MUSHROOM LN
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-7117
Mailing Address - Country:US
Mailing Address - Phone:360-697-4080
Mailing Address - Fax:360-697-4053
Practice Address - Street 1:5112 NW TAYLOR RD
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-8837
Practice Address - Country:US
Practice Address - Phone:360-373-2536
Practice Address - Fax:360-373-4934
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00001610225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics