Provider Demographics
NPI:1689989113
Name:PRICE, JULIE ANN (DPT)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:PRICE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 GOLDSTEIN ST
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-4408
Mailing Address - Country:US
Mailing Address - Phone:941-421-2440
Mailing Address - Fax:
Practice Address - Street 1:231 GOLDSTEIN ST
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-4408
Practice Address - Country:US
Practice Address - Phone:941-421-2440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18108174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist