| NPI | 1831342112 |
|---|---|
| Former Name | JULIA MARIE DODD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 16003) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11070) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2020-04-17 |