Provider Demographics
NPI:1487694766
Name:GROVER, JULIA ELIZABETH (OTR/L, CHT)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ELIZABETH
Last Name:GROVER
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 N ALVERNON WAY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1507
Mailing Address - Country:US
Mailing Address - Phone:520-321-1495
Mailing Address - Fax:520-321-1593
Practice Address - Street 1:2810 N ALVERNON WAY
Practice Address - Street 2:SUITE 600
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1507
Practice Address - Country:US
Practice Address - Phone:520-321-1495
Practice Address - Fax:520-321-1593
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07546532225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ60516Medicare ID - Type Unspecified