| NPI | 1689955130 |
|---|---|
| Former Name | JULIE ROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033967) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 26762) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2022-01-31 |