Provider Demographics
NPI:1760615066
Name:BARON, JULIA KATHLEEN (PT,DPT)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:KATHLEEN
Last Name:BARON
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:KATHLEEN
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:805 MADISON ST
Mailing Address - Street 2:SUITE 901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1172
Mailing Address - Country:US
Mailing Address - Phone:206-264-8100
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:1200 112TH AVE NE
Practice Address - Street 2:SUITE C-260
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3732
Practice Address - Country:US
Practice Address - Phone:425-462-5006
Practice Address - Fax:425-462-5019
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01323900225100000X
WAPT60274763225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist