| NPI | 1760640676 |
|---|---|
| Former Name | JULIA ANNE KOSSTRIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11849) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 026708 1) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2023-11-30 |