Provider Demographics
NPI:1366653479
Name:BERGHOFER, JULIE ELIZABETH (RMT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ELIZABETH
Last Name:BERGHOFER
Suffix:
Gender:F
Credentials:RMT
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Mailing Address - Street 1:3855 BROADLAWN DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1203
Mailing Address - Country:US
Mailing Address - Phone:323-876-9362
Mailing Address - Fax:323-876-9362
Practice Address - Street 1:3855 BROADLAWN DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068
Practice Address - Country:US
Practice Address - Phone:323-876-9362
Practice Address - Fax:323-876-9362
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist