| NPI | 1306078159 | 
|---|---|
| Former Name | JULIA A SMETANA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60604173) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6031) | 
| Enumeration Date | 2009-08-12 | 
| Last Update Date | 2020-06-09 |