Provider Demographics
NPI:1366991366
Name:ALTONJY, JULIANNA NOELLE
Entity type:Individual
Prefix:MISS
First Name:JULIANNA
Middle Name:NOELLE
Last Name:ALTONJY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SADDLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-5523
Mailing Address - Country:US
Mailing Address - Phone:908-979-1977
Mailing Address - Fax:
Practice Address - Street 1:18 SADDLE RIDGE RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:NJ
Practice Address - Zip Code:07821-5523
Practice Address - Country:US
Practice Address - Phone:908-979-1977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-02
Last Update Date:2016-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist