Provider Demographics
NPI:1235525007
Name:CHOATE, JULIE (RCVT, RCT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:CHOATE
Suffix:
Gender:F
Credentials:RCVT, RCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11660 DEEGAN AVE SE
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MN
Mailing Address - Zip Code:55388-8306
Mailing Address - Country:US
Mailing Address - Phone:651-263-2775
Mailing Address - Fax:763-647-5900
Practice Address - Street 1:11660 DEEGAN AVE SE
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MN
Practice Address - Zip Code:55388-8306
Practice Address - Country:US
Practice Address - Phone:651-263-2775
Practice Address - Fax:763-647-5900
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist