| NPI | 1811478829 |
|---|---|
| Former Name | JULIE KIRKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 32028) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03455) |
| 225100000X Physical Therapist (Licence: MO 2004028062) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |