Provider Demographics
NPI:1780198036
Name:STORROW, JULIA ANN (OT)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ANN
Last Name:STORROW
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 1:1059 HOLLY TREE FARMS RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-6318
Mailing Address - Country:US
Mailing Address - Phone:615-261-8792
Mailing Address - Fax:
Practice Address - Street 1:1059 HOLLY TREE FARMS RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-6318
Practice Address - Country:US
Practice Address - Phone:615-261-8792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-23
Last Update Date:2017-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3808225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist