Provider Demographics
NPI:1558526640
Name:DIENER, JULIE KAY GURNSEY (PT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:KAY GURNSEY
Last Name:DIENER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 E RAINBOW RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3085
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:230 SPRING HILL DR
Practice Address - Street 2:SUITE 305
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-2381
Practice Address - Country:US
Practice Address - Phone:281-292-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1067726225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist