Provider Demographics
NPI:1750759882
Name:O'PARKS, JULIANNA (OTR/L)
Entity type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:O'PARKS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JULIANNA
Other - Middle Name:
Other - Last Name:OPARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:502 W POPLAR AVE APT D4
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1659
Mailing Address - Country:US
Mailing Address - Phone:443-878-7005
Mailing Address - Fax:
Practice Address - Street 1:502 W POPLAR AVE APT D4
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1659
Practice Address - Country:US
Practice Address - Phone:443-878-7005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-06
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9959225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist