| NPI | 1821189184 |
|---|---|
| Former Name | JULIE ANN SUELLENTROP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2005025971) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MO 2005025971) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-09-05 |