Provider Demographics
NPI:1649362971
Name:MONTEMARANO, JULIE KOUTSOULIAS (DC)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:KOUTSOULIAS
Last Name:MONTEMARANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:KOUTSOOLIAS
Other - Last Name:MONTEMARANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:203 E ROYALTON RD STE 108
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-4038
Mailing Address - Country:US
Mailing Address - Phone:440-886-6500
Mailing Address - Fax:440-526-4119
Practice Address - Street 1:203 E ROYALTON RD STE 108
Practice Address - Street 2:
Practice Address - City:BROADVIEW HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44147-4038
Practice Address - Country:US
Practice Address - Phone:440-886-6500
Practice Address - Fax:440-526-4119
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3744111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor