Provider Demographics
NPI:1023239837
Name:ULRICI, JILL DENISE (PT)
Entity type:Individual
Prefix:MS
First Name:JILL
Middle Name:DENISE
Last Name:ULRICI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 TERRACE DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-4350
Mailing Address - Country:US
Mailing Address - Phone:404-812-9071
Mailing Address - Fax:404-237-3857
Practice Address - Street 1:EMORY UNIVERSITY HOSPITAL 1364 CLIFTON RD NE
Practice Address - Street 2:REHAB DEPARTMENT
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:404-712-7288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT000780225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist