Provider Demographics
NPI:1710956479
Name:JULY, JULIE BORGERDING
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:BORGERDING
Last Name:JULY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:BORGERDING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:1111 MONTREAL AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-2337
Mailing Address - Country:US
Mailing Address - Phone:651-699-0713
Mailing Address - Fax:
Practice Address - Street 1:5800 149TH ST W
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-8117
Practice Address - Country:US
Practice Address - Phone:952-431-8700
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist