| NPI | 1164486494 |
|---|---|
| Former Name | JULIE D WHITBECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 118483) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-02805) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2022-07-26 |