Provider Demographics
NPI:1457089492
Name:KOWAL, JULIA (OTR/L)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:KOWAL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:KOWAL
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:82 BENTON LN
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-2309
Mailing Address - Country:US
Mailing Address - Phone:860-256-9768
Mailing Address - Fax:
Practice Address - Street 1:82 BENTON LN
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2309
Practice Address - Country:US
Practice Address - Phone:860-256-9768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005745225X00000X
SC7481225X00000X
CT5745225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008122910Medicaid