Healthcare Provider Details

I. General information

NPI: 1326702887
Provider Name (Legal Business Name): JULIIANNE ROCKEY OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 N 5TH ST STE 201
MARTINS FERRY OH
43935-1582
US

IV. Provider business mailing address

1 MEDICAL PARK BUSINESS OFFICE - CREDENTIALING
WHEELING WV
26003-6379
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-8310
  • Fax: 304-243-8430
Mailing address:
  • Phone: 304-243-8310
  • Fax: 304-243-8430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: