Provider Demographics
NPI:1083416952
Name:JONES, JULIE (OTR/L)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 COBB CT
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-2284
Mailing Address - Country:US
Mailing Address - Phone:916-293-5520
Mailing Address - Fax:
Practice Address - Street 1:555 OAKDALE ST STE F
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-2451
Practice Address - Country:US
Practice Address - Phone:916-293-5520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-06-19
Deactivation Date:2025-03-27
Deactivation Code:
Reactivation Date:2025-06-19
Provider Licenses
StateLicense IDTaxonomies
CA27239225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist