Individual provider · NPI-1

Julia Brunson, OT

Occupational Therapist · Stafford, TX

NPI number1699226126
StatusActive
Last updated in NPPESSep 4, 2018

Details

NPI
1699226126
Entity type
Individual (NPI-1)
Name
Julia Brunson
Credential
OT
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2016
Last updated
Sep 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist3351NMYes
225X00000X Occupational Therapist117854TX

Practice location

12371 S Kirkwood Rd
Stafford, TX 77477

Phone 713-995-9292 · Fax 713-779-0204

Mailing address

1350 Hillrise Cir
Las Cruces, NM 88011-4759

Phone 575-522-9528 · Fax 575-523-1108

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