Provider Demographics
NPI:1710429527
Name:NIWINSKI, JULIA (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:NIWINSKI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 JUAN TABO BLVD NE STE 101
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-2684
Mailing Address - Country:US
Mailing Address - Phone:505-750-8575
Mailing Address - Fax:505-448-7902
Practice Address - Street 1:4425 JUAN TABO BLVD NE STE 101
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2684
Practice Address - Country:US
Practice Address - Phone:505-750-8575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-10
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist