Provider Demographics
NPI:1548961873
Name:CAN, JULIE A
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:CAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9268 BIRR CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80927-9679
Mailing Address - Country:US
Mailing Address - Phone:719-641-5421
Mailing Address - Fax:
Practice Address - Street 1:7005 N CAREFREE CIR # CL
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-2400
Practice Address - Country:US
Practice Address - Phone:719-641-5421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist