Provider Demographics
NPI:1144507476
Name:HOLDEN, JULIANA ALTIERI (OTR/L)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:ALTIERI
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JULIANA
Other - Middle Name:MARIE
Other - Last Name:ALTIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1804 DEER PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-1224
Mailing Address - Country:US
Mailing Address - Phone:502-208-7045
Mailing Address - Fax:
Practice Address - Street 1:1804 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1224
Practice Address - Country:US
Practice Address - Phone:502-208-7045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR5046225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist