Provider Demographics
NPI:1437885282
Name:BARNES, JULIA ROGERS (ATC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ROGERS
Last Name:BARNES
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ANNE
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:626 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-1825
Mailing Address - Country:US
Mailing Address - Phone:732-223-7751
Mailing Address - Fax:
Practice Address - Street 1:626 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:BRIELLE
Practice Address - State:NJ
Practice Address - Zip Code:08730-1825
Practice Address - Country:US
Practice Address - Phone:732-223-7751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT000579002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer