Healthcare Provider Details

I. General information

NPI: 1568631257
Provider Name (Legal Business Name): JULIE ANN BARRETT OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2008
Last Update Date: 03/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 FLETCHER ST
GOSHEN NY
10924-1402
US

IV. Provider business mailing address

40 PETER TURNER RD
MONROE NY
10950-4178
US

V. Phone/Fax

Practice location:
  • Phone: 845-294-8806
  • Fax: 845-294-8650
Mailing address:
  • Phone: 845-837-1115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number003312
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: