Provider Demographics
NPI:1366656050
Name:KEGELMAN, JULIA (DPT, CFMT)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:KEGELMAN
Suffix:
Gender:F
Credentials:DPT, CFMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 KIRKWOOD HWY
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5002
Mailing Address - Country:US
Mailing Address - Phone:302-995-2100
Mailing Address - Fax:302-998-3104
Practice Address - Street 1:5500 KIRKWOOD HWY
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5002
Practice Address - Country:US
Practice Address - Phone:302-995-2100
Practice Address - Fax:302-998-3104
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ10002217225100000X
MD23618225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist