Healthcare Provider Details

I. General information

NPI: 1316591555
Provider Name (Legal Business Name): JULIA MORGAN SUCHARSKI PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA BORREGO

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 E COLLEGE AVE
APPLETON WI
54915-3251
US

IV. Provider business mailing address

3 NEENAH CTR
NEENAH WI
54956-3070
US

V. Phone/Fax

Practice location:
  • Phone: 920-969-0919
  • Fax: 920-969-0020
Mailing address:
  • Phone: 920-830-5900
  • Fax: 920-830-5910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17653
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: