| NPI | 1699178533 |
|---|---|
| Former Name | JULIA J CHARLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11454) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS CP004479T) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2021-08-30 |