Provider Demographics
NPI:1164953824
Name:QUINLIVAN, JULIE MARIA (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MARIA
Last Name:QUINLIVAN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-7429
Mailing Address - Country:US
Mailing Address - Phone:307-631-2392
Mailing Address - Fax:
Practice Address - Street 1:1000 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-7429
Practice Address - Country:US
Practice Address - Phone:307-631-2392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY)TR-032225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics