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NPI Code Detail

MEDICARE: JULIA CRUSEMIRE PT, DPT

MEDICARE: JULIA CRUSEMIRE PT, DPT
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 TherapistPT024613PA

General Provider Information

NPI Number : 1689050619
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA CRUSEMIRE PT, DPT
Provider Business Mailing Address
First Line : 3400 RED LION RD APT 10D
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-1317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2127 RHAWN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3216
Country : US
Telephone Number : 215-742-8099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2015
Last Update Date : 01/31/2017

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Directions to “ JULIA CRUSEMIRE PT, DPT” Practice Location

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