Provider Demographics
NPI:1285756528
Name:DARTT, JULIANNE CLAUDINE (COTA)
Entity type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:CLAUDINE
Last Name:DARTT
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
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Mailing Address - Street 1:389 SLEEPY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:MOHRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19541-8614
Mailing Address - Country:US
Mailing Address - Phone:610-916-3122
Mailing Address - Fax:
Practice Address - Street 1:125 HOLLY RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:PA
Practice Address - Zip Code:19526-8729
Practice Address - Country:US
Practice Address - Phone:610-562-2284
Practice Address - Fax:610-562-4938
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP003349L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant