Provider Demographics
NPI:1326797556
Name:OLSEN-BIEBER, JULIA HELEN (OTR)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:HELEN
Last Name:OLSEN-BIEBER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:HELEN
Other - Last Name:BIEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 GREYSTONE DR
Mailing Address - Street 2:
Mailing Address - City:DRYDEN
Mailing Address - State:NY
Mailing Address - Zip Code:13053-9531
Mailing Address - Country:US
Mailing Address - Phone:908-418-1604
Mailing Address - Fax:
Practice Address - Street 1:3700 VESTAL RD
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-2229
Practice Address - Country:US
Practice Address - Phone:607-763-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026292225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist