Provider Demographics
NPI:1912316357
Name:BRAND, JULIE (OTR)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:BRAND
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 1:123 OLD BARN CT
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-6871
Mailing Address - Country:US
Mailing Address - Phone:847-507-0703
Mailing Address - Fax:
Practice Address - Street 1:123 OLD BARN CT
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-6871
Practice Address - Country:US
Practice Address - Phone:847-507-0703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist