Icenogle, Julia

Icenogle, Julia is an individual health care provider with primary practice located at 18151 68Th Ave Ne Ste 100 , Kenmore WA 98028-2835. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Icenogle, Julia can be contacted via phone (425) 686-6760.

Contact Information

Primary practice address
18151 68Th Ave Ne Ste 100 Kenmore WA 98028-2835
Phone: (425) 686-6760
Fax: (425) 686-6763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 312111 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT 60399402 Washington

Profile Details

NPI number 1437571890
LBN Legal business name Icenogle, Julia
Credentials MOT, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2014
Last updated Jul 2nd, 2024 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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