Provider Demographics
NPI:1972790079
Name:THARP, JULIA M (MS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:M
Last Name:THARP
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:M
Other - Last Name:JANKOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:3020 CHILDRENS WAY MC 5148
Mailing Address - Street 2:RADY CHILDRENS HOSPITAL SAN DIEGO
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:781-801-0025
Mailing Address - Fax:
Practice Address - Street 1:3020 CHILDRENS WAY MC 5148
Practice Address - Street 2:RADY CHILDRENS HOSPITAL SAN DIEGO
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:858-459-7768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8815225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist