Provider Demographics
NPI:1609935543
Name:BARRETT, JULIE MOTE (OTR/L)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:MOTE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:MOTE
Other - Last Name:GOODMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:329 TEEL MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:GA
Mailing Address - Zip Code:30528-0710
Mailing Address - Country:US
Mailing Address - Phone:706-201-9661
Mailing Address - Fax:706-219-3466
Practice Address - Street 1:329 TEEL MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:GA
Practice Address - Zip Code:30528-0710
Practice Address - Country:US
Practice Address - Phone:706-201-9661
Practice Address - Fax:706-219-3466
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT003487225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000951959BMedicaid