Provider Demographics
NPI:1265955504
Name:HELGREN, JULIE (CTRS)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:HELGREN
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9716 KARMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-5411
Mailing Address - Country:US
Mailing Address - Phone:562-385-6745
Mailing Address - Fax:
Practice Address - Street 1:7601 E. IMPERIAL HIGHWAY
Practice Address - Street 2:JPI BUILDING RM 1124
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242
Practice Address - Country:US
Practice Address - Phone:562-385-6745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33153225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist