Provider Demographics
NPI:1962610311
Name:BURRS, JULIA CHRISTINE (COTA)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:CHRISTINE
Last Name:BURRS
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5427 YORKSHIRE TERRACE DR APT B4
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-2859
Mailing Address - Country:US
Mailing Address - Phone:614-863-8582
Mailing Address - Fax:
Practice Address - Street 1:676 BROOK HOLW
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6276
Practice Address - Country:US
Practice Address - Phone:614-414-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA-2788224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant