Healthcare Provider Details

I. General information

NPI: 1396291191
Provider Name (Legal Business Name): JULIA S HEFLIN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24400 HIGHPOINT RD SUITE 10
BEACHWOOD OH
44122-6054
US

IV. Provider business mailing address

24400 HIGHPOINT RD SUITE 10
BEACHWOOD OH
44122-6054
US

V. Phone/Fax

Practice location:
  • Phone: 216-896-0824
  • Fax: 216-896-0825
Mailing address:
  • Phone: 216-896-0824
  • Fax: 216-896-0825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT016491
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: