Provider Demographics
NPI:1114641503
Name:WHITNEY, JULIA ALEXANDRA (OTR)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ALEXANDRA
Last Name:WHITNEY
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 1:524 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:NY
Mailing Address - Zip Code:14092-1102
Mailing Address - Country:US
Mailing Address - Phone:716-940-8650
Mailing Address - Fax:
Practice Address - Street 1:524 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:NY
Practice Address - Zip Code:14092-1102
Practice Address - Country:US
Practice Address - Phone:716-940-8650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist