| NPI | 1225485055 |
|---|---|
| Former Name | JULIA NUGENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1277961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3118982) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2018-08-29 |