Provider Demographics
NPI:1053878637
Name:MCLAUGHLIN, JULIE ANN (COTA/L)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:BEDGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:827 COLUSA ST
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-4116
Mailing Address - Country:US
Mailing Address - Phone:530-321-5631
Mailing Address - Fax:
Practice Address - Street 1:240 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:GRIDLEY
Practice Address - State:CA
Practice Address - Zip Code:95948-2216
Practice Address - Country:US
Practice Address - Phone:530-846-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4754224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant