Provider Demographics
NPI:1760559256
Name:ROMERO, JULIE (COTA/L)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:ISELIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:33 ALTIN AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02881-1201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 JEFFERSON BLVD
Practice Address - Street 2:SUITE I
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3846
Practice Address - Country:US
Practice Address - Phone:401-463-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant