Provider Demographics
NPI:1538161153
Name:KENDALL, JULIE H (OT)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:H
Last Name:KENDALL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:E
Other - Last Name:HILLERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 BLEACHERY BLVD
Mailing Address - Street 2:SUITE # 201
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-8314
Mailing Address - Country:US
Mailing Address - Phone:828-277-5763
Mailing Address - Fax:828-577-5764
Practice Address - Street 1:1201 BLEACHERY BLVD
Practice Address - Street 2:SUITE # 201
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-8314
Practice Address - Country:US
Practice Address - Phone:828-277-5763
Practice Address - Fax:828-277-5764
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3625225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7301697Medicaid
NC7301697Medicaid