Provider Demographics
NPI:1831344860
Name:SCHUETTE, JULIA MARIE (OT)
Entity type:Individual
Prefix:MISS
First Name:JULIA
Middle Name:MARIE
Last Name:SCHUETTE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:110 CLIFTON PL
Mailing Address - Street 2:4F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1372
Mailing Address - Country:US
Mailing Address - Phone:347-743-7390
Mailing Address - Fax:
Practice Address - Street 1:110 CLIFTON PL
Practice Address - Street 2:4F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-1372
Practice Address - Country:US
Practice Address - Phone:347-743-7390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05795-1225X00000X
NY005795-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY005795-1OtherSTATE LICENSE