Provider Demographics
NPI:1245028000
Name:BLANCH, JULIANA (OTR/L)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:BLANCH
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 1:6978 CRYSTAL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-2174
Mailing Address - Country:US
Mailing Address - Phone:440-759-6603
Mailing Address - Fax:440-759-6603
Practice Address - Street 1:8300 NORTON PKWY
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-6601
Practice Address - Country:US
Practice Address - Phone:440-578-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT010606225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist