| NPI | 1639552607 |
|---|---|
| Former Name | JULIE MARIE BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 28124) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005305) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: KY 005305) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT 28124) | |
| 2251N0400X Physical Therapist, Neurology (Licence: KY 005305) | |
| 2251N0400X Physical Therapist, Neurology (Licence: FL PT28124) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2021-05-06 |