Provider Demographics
NPI:1497252639
Name:ST PIERRE, JULIE MULLER (OT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MULLER
Last Name:ST PIERRE
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 1:2901 RIDGELAKE DR STE 209
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4934
Mailing Address - Country:US
Mailing Address - Phone:504-309-0868
Mailing Address - Fax:504-309-0867
Practice Address - Street 1:2901 RIDGELAKE DR STE 209
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4934
Practice Address - Country:US
Practice Address - Phone:504-309-0868
Practice Address - Fax:504-309-0867
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ12203225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist