| NPI | 1649409517 |
|---|---|
| Former Name | JULIA RODGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19474) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008509) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2012-01-04 |