Most Relevant Information
Provider Data
| NPI Number: | 1003580317 |
| Provider Name: | JULIE NICHOLSON OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 46TR00885100 |
Most Important Dates
| Enumeration Date: | 08/02/2021 |
| Last Updated: | 10/18/2022 |
Provider Practice Location
361 MONTGOMERY ST
JERSEY CITY
NJ
073023345
Practice Location Phone/Fax
| Phone: | 2019322656 |
| Fax: | 2019322656 |
Provider Mailing Location
408 POMPTON AVE
CEDAR GROVE
NJ
070091813
Provider Mailing Phone/Fax
| Phone: | 9734330732 |
| Fax: | 9734330733 |