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NPI Code Detail

MEDICARE: JULIE CHRISTINE DELAND

MEDICARE: JULIE CHRISTINE DELAND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1083437511
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE CHRISTINE DELAND
Provider Business Mailing Address
First Line : 629 COPPERFIELD LN
Second Line :
City : TIPP CITY
State : OH
Zip : 45371-8805
Country : US
Telephone Number : 937-545-8326
Fax Number :
Provider Business Practice Location Address
First Line : 4375 S COUNTY ROAD 25A
Second Line :
City : TIPP CITY
State : OH
Zip : 45371-2956
Country : US
Telephone Number : 937-667-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2024
Last Update Date : 11/04/2024

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Directions to “ JULIE CHRISTINE DELAND ” Practice Location

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