Provider Demographics
NPI:1790739829
Name:MARLEY, JULIE K (PT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:K
Last Name:MARLEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1101 TWIN C LN
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2157
Mailing Address - Country:US
Mailing Address - Phone:302-633-1280
Mailing Address - Fax:302-633-1284
Practice Address - Street 1:1101 TWIN C LN
Practice Address - Street 2:SUITE 203
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2157
Practice Address - Country:US
Practice Address - Phone:302-633-1280
Practice Address - Fax:302-633-1284
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEJ10000743225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE490978OtherMEDICARE ID NUMBER
DEP38176Medicare UPIN