Provider Demographics
NPI:1245648849
Name:JULIEN, KEARNS (DPT)
Entity type:Individual
Prefix:
First Name:KEARNS
Middle Name:
Last Name:JULIEN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 HUDSON MANOR TERRACE
Mailing Address - Street 2:1AE
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1117
Mailing Address - Country:US
Mailing Address - Phone:347-267-8156
Mailing Address - Fax:347-905-4650
Practice Address - Street 1:3850 HUDSON MANOR TERRACE
Practice Address - Street 2:1AE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1117
Practice Address - Country:US
Practice Address - Phone:347-267-8156
Practice Address - Fax:347-905-4650
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-27
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035707225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist