| NPI | 1609289594 |
|---|---|
| Former Name | JULIE ERNST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-30075) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023134) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-07-13 |