| NPI | 1891739447 |
|---|---|
| Former Name | JULIE CARMEL DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017465) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT017465L) |
| 225100000X Physical Therapist (Licence: PA 017465) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-05-02 |