Healthcare Provider Details

I. General information

NPI: 1144491978
Provider Name (Legal Business Name): JULIE ANNE MCGEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 10/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 VAN NESS AVE SUITE 2008
SAN FRANCISCO CA
94102-3200
US

IV. Provider business mailing address

601 VAN NESS AVE SUITE 2008
SAN FRANCISCO CA
94102-3200
US

V. Phone/Fax

Practice location:
  • Phone: 415-674-7039
  • Fax: 415-674-7040
Mailing address:
  • Phone: 415-674-7039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number34120
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number34120
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: