Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 61161116 | WA |
NPI | 1114699345 |
---|---|
Provider Name | Dr. Julia Rosemarie Bramstedt |
First Address | Spokane, WA 99208-4337 |
Second Address | Spokane, WA 99208-4337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2021 |
Last Update Date | 05/10/2021 |