| NPI | 1295796274 |
|---|---|
| Former Name | JULIE LYNN FUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5743) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1619) |
| 225100000X Physical Therapist (Licence: FL PT12690) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2018-10-29 |