Provider Demographics
NPI:1306421169
Name:ANDERSON, JULIA MARIE (COTA)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:BELZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:JULIE BELZ
Mailing Address - Street 1:207 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SHILLINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19607-1928
Mailing Address - Country:US
Mailing Address - Phone:936-444-5100
Mailing Address - Fax:
Practice Address - Street 1:850 NORRISTOWN RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2628
Practice Address - Country:US
Practice Address - Phone:936-444-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-13
Last Update Date:2021-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP009938224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant