Provider Demographics
NPI:1528043890
Name:TINKELMAN, JULIE LYNN (PT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:LYNN
Last Name:TINKELMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:LYNN
Other - Last Name:MURRANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:302 RABBIT RUN
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-8876
Mailing Address - Country:US
Mailing Address - Phone:570-586-2460
Mailing Address - Fax:
Practice Address - Street 1:115 E GROVE ST
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-1773
Practice Address - Country:US
Practice Address - Phone:570-586-1188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015440225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist