Healthcare Provider Details

I. General information

NPI: 1962313155
Provider Name (Legal Business Name): JULIA VENEZIALE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

593 W STATE ST
DOYLESTOWN PA
18901-2541
US

IV. Provider business mailing address

5007 BROOKWOOD CT
WARRINGTON PA
18976-2451
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-2894
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT033387
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: