Provider Demographics
NPI:1164951885
Name:HILL, JULIE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-1467
Mailing Address - Country:US
Mailing Address - Phone:203-458-1000
Mailing Address - Fax:203-286-1688
Practice Address - Street 1:428 LONG HILL RD
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-3811
Practice Address - Country:US
Practice Address - Phone:917-279-0906
Practice Address - Fax:203-286-1688
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4789225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist