Provider Demographics
NPI:1922535970
Name:MCNABB, JULIA DAWN (MED, ATC, LAT)
Entity Type:Individual
Prefix:MISS
First Name:JULIA
Middle Name:DAWN
Last Name:MCNABB
Suffix:
Gender:F
Credentials:MED, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 WYNTERCREST LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-4517
Mailing Address - Country:US
Mailing Address - Phone:573-317-6132
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 19705
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-0023
Practice Address - Country:US
Practice Address - Phone:919-530-7595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-20
Last Update Date:2017-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer