Provider Demographics
NPI:1962069419
Name:THOMAS, JULIA (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:PHEIFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 269083
Mailing Address - Street 2:DEPT 1128
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126
Mailing Address - Country:US
Mailing Address - Phone:615-540-8334
Mailing Address - Fax:615-469-4321
Practice Address - Street 1:7135 CHARLOTTE PIKE STE 102
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-5017
Practice Address - Country:US
Practice Address - Phone:615-540-8334
Practice Address - Fax:615-469-4321
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2893225X00000X
TN7325225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist