Provider Demographics
NPI:1831301928
Name:SMITH, JULIEANN (DPT)
Entity Type:Individual
Prefix:MISS
First Name:JULIEANN
Middle Name:
Last Name:SMITH
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 1:811 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-1118
Mailing Address - Country:US
Mailing Address - Phone:814-590-4610
Mailing Address - Fax:
Practice Address - Street 1:14663 PA-68
Practice Address - Street 2:
Practice Address - City:SLIGO
Practice Address - State:PA
Practice Address - Zip Code:16255-3245
Practice Address - Country:US
Practice Address - Phone:814-745-2031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018208225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist