Provider Demographics
NPI:1659410751
Name:POTIER, JULIA CAROLINE (OT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:CAROLINE
Last Name:POTIER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:CAROLINE
Other - Last Name:SONNIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:850 NORTH PIERCE ST SUITE C
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501
Mailing Address - Country:US
Mailing Address - Phone:337-289-5668
Mailing Address - Fax:337-289-5620
Practice Address - Street 1:850 NORTH PIERCE ST SUITE C
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501
Practice Address - Country:US
Practice Address - Phone:337-289-5668
Practice Address - Fax:337-289-5620
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTTZ12454225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist