Provider Demographics
NPI:1417056029
Name:HUBER, JULIANA M (DPT)
Entity Type:Individual
Prefix:DR
First Name:JULIANA
Middle Name:M
Last Name:HUBER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:JULIANA
Other - Middle Name:M
Other - Last Name:CIEMBRONOWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2043 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6132
Mailing Address - Country:US
Mailing Address - Phone:954-227-3711
Mailing Address - Fax:954-227-3709
Practice Address - Street 1:2043 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6132
Practice Address - Country:US
Practice Address - Phone:954-227-3711
Practice Address - Fax:954-227-3709
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT2869225100000X
FLPT22297225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR158952721Medicaid
AR228586001OtherCIGNA
AR5Y715C504Medicare ID - Type Unspecified