Provider Demographics
NPI:1114065992
Name:BARNARD, JULIET C (PT)
Entity Type:Individual
Prefix:MRS
First Name:JULIET
Middle Name:C
Last Name:BARNARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5814 FRENCH CREEK CT
Mailing Address - Street 2:
Mailing Address - City:ELLENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34222-5204
Mailing Address - Country:US
Mailing Address - Phone:941-722-6795
Mailing Address - Fax:
Practice Address - Street 1:5814 FRENCH CREEK CT
Practice Address - Street 2:SUITE 100
Practice Address - City:ELLENTON
Practice Address - State:FL
Practice Address - Zip Code:34222-5204
Practice Address - Country:US
Practice Address - Phone:727-541-5304
Practice Address - Fax:727-546-8527
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 16397225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL890593200Medicaid