Provider Demographics
NPI:1396624409
Name:DORRIS, JULIA (OTR/L)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:DORRIS
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 1:726 BUCHANAN ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-4128
Mailing Address - Country:US
Mailing Address - Phone:205-789-7071
Mailing Address - Fax:
Practice Address - Street 1:726 BUCHANAN ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4128
Practice Address - Country:US
Practice Address - Phone:205-789-7071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27158225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
083393870206OtherPROFESSIONAL LIABILITY (HPSO)
488018OtherOCCUPATIONAL THERAPY REGISTERED
CA27158OtherCALIFORNIA BOARD OF OCCUPATIONAL THERAPY