Provider Demographics
NPI:1093419210
Name:COLBY, JULIA KELLY (OTR/L)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:KELLY
Last Name:COLBY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:KELLY
Other - Last Name:CURRIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:555 AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-4803
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15 ERMER RD UNIT 102
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-1273
Practice Address - Country:US
Practice Address - Phone:603-893-0984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3410225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist