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NPI Code Detail

MEDICARE: JULIA ANN SHIRLEY PT

MEDICARE: JULIA ANN SHIRLEY PT
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 Therapist11935NC

General Provider Information

NPI Number : 1528214251
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA ANN SHIRLEY PT
Provider Business Mailing Address
First Line : 3506 TALL PINE CT
Second Line :
City : WILMINGTON
State : NC
Zip : 28409-2921
Country : US
Telephone Number : 336-707-2327
Fax Number :
Provider Business Practice Location Address
First Line : 1007 PORTERS NECK RD
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-7383
Country : US
Telephone Number : 910-686-6506
Fax Number : 910-686-6385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2008
Last Update Date : 11/16/2022

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