Healthcare Provider Details

I. General information

NPI: 1306129234
Provider Name (Legal Business Name): JULIE CLAUDIA BARKER FORD M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 09/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5720 COUNTY HIGHWAY 36
DENVER NY
12421-1602
US

IV. Provider business mailing address

5720 COUNTY HIGHWAY 36
DENVER NY
12421-1602
US

V. Phone/Fax

Practice location:
  • Phone: 607-326-3025
  • Fax:
Mailing address:
  • Phone: 607-326-3025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number04408
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: