| NPI | 1265445969 |
|---|---|
| Former Name | JULIE ANGELA SIEGMUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: RI PT02396) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: RI AT00189) |
| 2251S0007X Physical Therapist Sports (Licence: RI PT02396) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-09-29 |