Provider Demographics
NPI:1689091407
Name:VOSS, JULIE BREWER
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:BREWER
Last Name:VOSS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:BREWER
Other - Middle Name:ANN
Other - Last Name:JULIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:506 HILLANDALE RD
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29672-2116
Mailing Address - Country:US
Mailing Address - Phone:864-973-9222
Mailing Address - Fax:
Practice Address - Street 1:148 FOOTHILLS CENTER DR
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:SC
Practice Address - Zip Code:29696-2518
Practice Address - Country:US
Practice Address - Phone:864-638-6405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6593225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist