| NPI | 1093704512 |
|---|---|
| Other Name | JULIE LYNN MAINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 2723) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: AZ 2723) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2020-10-12 |