Provider Demographics
NPI:1306129234
Name:BARKER FORD, JULIE CLAUDIA (MS)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:CLAUDIA
Last Name:BARKER FORD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 COUNTY HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NY
Mailing Address - Zip Code:12421-1602
Mailing Address - Country:US
Mailing Address - Phone:607-326-3025
Mailing Address - Fax:
Practice Address - Street 1:5720 COUNTY HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NY
Practice Address - Zip Code:12421-1602
Practice Address - Country:US
Practice Address - Phone:607-326-3025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04408225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist