| NPI | 1174927537 |
|---|---|
| Former Name | JULIE MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25189) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 25189) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2020-04-24 |