Provider Demographics
NPI:1124686183
Name:GINSKI, JULIANA CARLIN (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:CARLIN
Last Name:GINSKI
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:JULIANA
Other - Middle Name:MAUREEN
Other - Last Name:CARLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:146 HARBOR VILLAGE DR APT 302
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-5870
Mailing Address - Country:US
Mailing Address - Phone:443-561-4882
Mailing Address - Fax:
Practice Address - Street 1:1030 JEFFERSON AVE # BW125
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2127
Practice Address - Country:US
Practice Address - Phone:901-523-8990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT0000006065225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist