Provider Demographics
NPI:1689773715
Name:SANDS, JULIA LOUISE (PT)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:LOUISE
Last Name:SANDS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:LOUISE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6500 EXCELSIOR BLVD.
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426
Mailing Address - Country:US
Mailing Address - Phone:952-993-0712
Mailing Address - Fax:952-993-0035
Practice Address - Street 1:6500 EXCELSIOR BLVD.
Practice Address - Street 2:METHODIST HOSPITAL
Practice Address - City:ST. LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426
Practice Address - Country:US
Practice Address - Phone:952-993-0712
Practice Address - Fax:952-993-0035
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7354225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist