Provider Demographics
NPI:1073777454
Name:MAUNEY, JULIE CAMP (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:CAMP
Last Name:MAUNEY
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 WINGATE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-8414
Mailing Address - Country:US
Mailing Address - Phone:252-636-3742
Mailing Address - Fax:
Practice Address - Street 1:110 MCCOTTER BLVD
Practice Address - Street 2:
Practice Address - City:HAVELOCK
Practice Address - State:NC
Practice Address - Zip Code:28532-1632
Practice Address - Country:US
Practice Address - Phone:252-444-4631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC753225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant