Provider Demographics
NPI:1215444583
Name:ROLLINS, JULIE DAVIS (MOT OTR/L)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:DAVIS
Last Name:ROLLINS
Suffix:
Gender:F
Credentials:MOT OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHANDLERS WAY
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03901-2974
Mailing Address - Country:US
Mailing Address - Phone:213-880-9199
Mailing Address - Fax:
Practice Address - Street 1:215 COMMERCE WAY STE 300
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3244
Practice Address - Country:US
Practice Address - Phone:603-433-4192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3152225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics