Provider Demographics
NPI:1972021954
Name:GOLDBERG, JULYA MARIE (DPT)
Entity Type:Individual
Prefix:
First Name:JULYA
Middle Name:MARIE
Last Name:GOLDBERG
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 1:750 W ROUTE 66 STE N
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-4164
Mailing Address - Country:US
Mailing Address - Phone:626-335-4077
Mailing Address - Fax:626-335-8749
Practice Address - Street 1:750 W ROUTE 66 STE N
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-4164
Practice Address - Country:US
Practice Address - Phone:626-335-4077
Practice Address - Fax:626-335-8749
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist