Provider Demographics
NPI:1700820164
Name:VIANDS, JULIE ANNETTE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANNETTE
Last Name:VIANDS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANNETTTE
Other - Last Name:PHILPOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:111 RAVEN HILL WAY
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-6739
Mailing Address - Country:US
Mailing Address - Phone:864-517-0262
Mailing Address - Fax:
Practice Address - Street 1:9 MAPLE TREE CT STE D
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4071
Practice Address - Country:US
Practice Address - Phone:864-442-7482
Practice Address - Fax:864-627-0333
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6079225X00000X
SC2332225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist