| NPI | 1518365139 |
|---|---|
| Former Name | JULIE MICHELE PAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160326080) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA PTA10195) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2024-07-01 |