Provider Demographics
NPI:1417205972
Name:HOUSKA, JULIANNE MARIE (OT)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:MARIE
Last Name:HOUSKA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12234 COOPERS RUN
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-9238
Mailing Address - Country:US
Mailing Address - Phone:440-572-2737
Mailing Address - Fax:440-398-0414
Practice Address - Street 1:12234 COOPERS RUN
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-9238
Practice Address - Country:US
Practice Address - Phone:440-572-2737
Practice Address - Fax:440-398-0414
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT007507225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist