Provider Demographics
NPI:1427557974
Name:TROOST, JULIA ROSE (OTR)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ROSE
Last Name:TROOST
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 1:346 GANSEVOORT BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5115
Mailing Address - Country:US
Mailing Address - Phone:347-306-2221
Mailing Address - Fax:
Practice Address - Street 1:330 SMITH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-4604
Practice Address - Country:US
Practice Address - Phone:718-330-9322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist