Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | TE008076 | PA |
NPI | 1003935834 |
---|---|
Provider Name | Julia Ann Simpson |
First Address | Franklin, PA 16323-2063 |
Second Address | Seneca, PA 16346-2130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 28/11/2012 |