Provider Demographics
NPI:1356742720
Name:NEWMAN, JULIE I (OTR)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:I
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7268 ZIEGLER CIR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-4256
Mailing Address - Country:US
Mailing Address - Phone:608-515-3986
Mailing Address - Fax:262-781-3080
Practice Address - Street 1:W237N2920 WOODGATE RD
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-6289
Practice Address - Country:US
Practice Address - Phone:608-515-3986
Practice Address - Fax:262-781-3080
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3132-26225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist