Provider Demographics
NPI:1528800950
Name:WATSON, JULIE (CHT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:WATSON
Suffix:
Gender:F
Credentials:CHT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:HAMMOND WATSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:14855 S BOYD PL
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-8240
Mailing Address - Country:US
Mailing Address - Phone:918-520-8511
Mailing Address - Fax:
Practice Address - Street 1:1004 E BRYAN AVE
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-4513
Practice Address - Country:US
Practice Address - Phone:918-227-8607
Practice Address - Fax:918-224-9227
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5226225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand