Provider Demographics
NPI:1114123551
Name:COLAW, JULIE CHRISTINE (PT)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:CHRISTINE
Last Name:COLAW
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 1:1120 BAYENES CT SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98513-7726
Mailing Address - Country:US
Mailing Address - Phone:360-790-8202
Mailing Address - Fax:360-455-1714
Practice Address - Street 1:4001 CAPITOL MALL DR SW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-8657
Practice Address - Country:US
Practice Address - Phone:360-754-9792
Practice Address - Fax:360-754-0627
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007734225100000X
NCNC00006636225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist