| NPI | 1326592163 |
|---|---|
| Former Name | JULIANNE MARIE POPIVCHAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1357726) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012508) |
| 225100000X Physical Therapist (Licence: AL 8562) | |
| 225100000X Physical Therapist (Licence: OR 62183) | |
| 225100000X Physical Therapist (Licence: TN 11185) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2024-07-10 |