Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 4204 | MN |
NPI | 1134450992 |
---|---|
Provider Name | Mrs. Julia Marie Varno |
First Address | Minneapolis, MN 55414-3604 |
Second Address | Minneapolis, MN 55414-3604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2010 |
Last Update Date | 19/01/2010 |