Mrs. Julie Wells Koenig
Physical Therapist - Pediatrics
4012 Park Rd Suite 200
Charlotte
, North Carolina 28209-2377
Mrs. Julie Wells Koenig
Physical Therapist - Pediatrics
4012 Park Rd Suite 200
Charlotte
, North Carolina 28209-2377
(803) 619-4294
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Julie Wells Koenig
- 4132 River Oaks Rd
- Clover, SC
- Zip : 29710-8051
- Phone : (803) 619-4294
Second Address
- Mrs. Julie Wells Koenig
- 4012 Park Rd Suite 200
- Charlotte, NC
- Zip : 28209-2377
- Fax : (704) 372-9653
- Phone : (704) 332-4834
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 8798 | NC |
National Provider Identifier
| NPI | 1003878406 |
|---|---|
| Provider Name | Mrs. Julie Wells Koenig |
| First Address | Clover, SC 29710-8051 |
| Second Address | Charlotte, NC 28209-2377 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2006 |
| Last Update Date | 25/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.