| NPI | 1598994469 |
|---|---|
| Former Name | JULIE ANNE MAYBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005733) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: VA 2305005733) |
| 2251G0304X Physical Therapist Geriatrics (Licence: VA 2305005733) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2011-01-19 |