Provider Demographics
NPI:1306342027
Name:BARTLETT, JULIA (OTR)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 N ADAMS ST STE 7
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-3111
Mailing Address - Country:US
Mailing Address - Phone:402-916-4539
Mailing Address - Fax:402-403-5857
Practice Address - Street 1:309 SW 59TH ST STE 305
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-8324
Practice Address - Country:US
Practice Address - Phone:405-355-3239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2021-06-11
Deactivation Date:2021-05-11
Deactivation Code:
Reactivation Date:2021-06-01
Provider Licenses
StateLicense IDTaxonomies
OK5586225X00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician