MEDICARE: MS. JULIE JONES CORBETT I MS, OTR,CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	003164-1	NY

General Provider Information

NPI Number	:	1144267295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIE JONES CORBETT I MS, OTR,CHT

Provider Business Mailing Address
First Line	:	109 E MOUNTAIN RD S
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-3813
Country	:	US
Telephone Number	:	845-265-2032
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 E MOUNTAIN RD S
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-3813
Country	:	US
Telephone Number	:	845-265-2032
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	04/09/2014

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