| NPI | 1215329297 |
|---|---|
| Former Name | JULIE MARIE DICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 3115) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 13214) |
| 225100000X Physical Therapist (Licence: HI 4330) | |
| 225100000X Physical Therapist (Licence: AK 2887) | |
| 225100000X Physical Therapist (Licence: ID 3652) | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2018-03-17 |