Provider Demographics
NPI:1467781781
Name:MCCLURE, JULIE ALLISON (MED OTR)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ALLISON
Last Name:MCCLURE
Suffix:
Gender:F
Credentials:MED OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 HOMER AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKY FORD
Mailing Address - State:CO
Mailing Address - Zip Code:81067-2021
Mailing Address - Country:US
Mailing Address - Phone:720-413-1732
Mailing Address - Fax:
Practice Address - Street 1:100 COTTONWOOD LN
Practice Address - Street 2:
Practice Address - City:ROCKY FORD
Practice Address - State:CO
Practice Address - Zip Code:81067-9583
Practice Address - Country:US
Practice Address - Phone:720-413-1732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist