Provider Demographics
NPI:1437864618
Name:FENG, JULIA BOHUA (DPT)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:BOHUA
Last Name:FENG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 STUYVESANT OVAL APT 3C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-2227
Mailing Address - Country:US
Mailing Address - Phone:925-858-9122
Mailing Address - Fax:
Practice Address - Street 1:14 STUYVESANT OVAL APT 3C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-2227
Practice Address - Country:US
Practice Address - Phone:925-858-9122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047330-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist