| NPI | 1669601993 |
|---|---|
| Former Name | JULIE ANN UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010707A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2009017278) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2012-03-29 |