Provider Demographics
NPI:1598032336
Name:STEDIFOR, JULIA ELLEN (BS, RCEP)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ELLEN
Last Name:STEDIFOR
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Gender:F
Credentials:BS, RCEP
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Mailing Address - Street 1:4429 NORTHAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-1556
Mailing Address - Country:US
Mailing Address - Phone:916-967-1559
Mailing Address - Fax:916-537-5413
Practice Address - Street 1:4429 NORTHAMPTON DR
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-1556
Practice Address - Country:US
Practice Address - Phone:916-967-1559
Practice Address - Fax:916-537-5413
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist