Provider Demographics
NPI:1598968448
Name:GARRETSON, JULIA NICOLE (MOTR)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:NICOLE
Last Name:GARRETSON
Suffix:
Gender:
Credentials:MOTR
Other - Prefix:MISS
Other - First Name:JULIA
Other - Middle Name:NICOLE
Other - Last Name:MELENDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOTR
Mailing Address - Street 1:4805 17TH ST W
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-5503
Mailing Address - Country:US
Mailing Address - Phone:941-201-2929
Mailing Address - Fax:
Practice Address - Street 1:4805 17TH ST W
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-5503
Practice Address - Country:US
Practice Address - Phone:941-201-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9200225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist