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NPI Code Detail

MEDICARE: JULIE ANN PARENT PTA

MEDICARE: JULIE ANN PARENT PTA
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
1225200000XPhysical Therapy Assistant06000508AIN

General Provider Information

NPI Number : 1871558411
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ANN PARENT PTA
Provider Business Mailing Address
First Line : 33900 HARPER AVE
Second Line :
City : CLINTON TWP
State : MI
Zip : 48035-4258
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1992 E STOP 13 RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-6267
Country : US
Telephone Number : 317-808-0230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 03/23/2026

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Directions to “ JULIE ANN PARENT PTA” Practice Location

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