Provider Demographics
NPI:1720297633
Name:LULL, JULIANNE CHRISTINE HOTES (OTR)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:CHRISTINE HOTES
Last Name:LULL
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 1:6104 BRYN MAWR AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN ECHO
Mailing Address - State:MD
Mailing Address - Zip Code:20812-1104
Mailing Address - Country:US
Mailing Address - Phone:301-233-1358
Mailing Address - Fax:
Practice Address - Street 1:601 PENNSYLVANIA AVE NW
Practice Address - Street 2:SUITE 900
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20004-2601
Practice Address - Country:US
Practice Address - Phone:301-233-1358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist