Provider Demographics
NPI:1720302409
Name:FEYRER, JULIE RUTH (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:RUTH
Last Name:FEYRER
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 POMO PL
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618-5083
Mailing Address - Country:US
Mailing Address - Phone:530-219-0180
Mailing Address - Fax:
Practice Address - Street 1:3900 POMO PL
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-5083
Practice Address - Country:US
Practice Address - Phone:530-219-0180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT5028225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics