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General NPI Number Information
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NPI Number | 1053724971
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Entity Type | Individual
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Provider Name | JULIE ROWE
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Gender | Female
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 12/19/2014
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Provider Practice Location Address
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Address Line | 485 TOWNSHIP ROAD 1902
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City | JEROMESVILLE
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State | OH
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Zip | 44840-9754
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Country | US
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Telephone | 330-345-6771
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Fax |
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Provider Business Mailing Address
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Address Line | 741 WINKLER DR
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City | WOOSTER
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State | OH
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Zip | 44691-1652
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Country | US
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Telephone | 330-345-6771
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | OH3083792
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License Number State | OH
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