Provider Demographics
NPI:1720325723
Name:FITMAN, JULIE ANN (OTR/L)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:FITMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 STONE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SUTTON
Mailing Address - State:MA
Mailing Address - Zip Code:01590-2923
Mailing Address - Country:US
Mailing Address - Phone:508-865-1985
Mailing Address - Fax:
Practice Address - Street 1:129 STONE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SUTTON
Practice Address - State:MA
Practice Address - Zip Code:01590-2923
Practice Address - Country:US
Practice Address - Phone:508-865-1985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4618174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist