Provider Demographics
NPI:1083899371
Name:ROWLAND, JULIE M (DPT, OCS, CERTMDT)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:M
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:DPT, OCS, CERTMDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 VINTAGE AVE
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-2054
Mailing Address - Country:US
Mailing Address - Phone:336-287-2190
Mailing Address - Fax:336-397-0161
Practice Address - Street 1:1345 WESTGATE CENTER DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3040
Practice Address - Country:US
Practice Address - Phone:336-397-0163
Practice Address - Fax:336-397-0161
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7985225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist