Provider Demographics
NPI:1669716908
Name:BARSASTEANU, JULIA NINETA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:NINETA
Last Name:BARSASTEANU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3296 WOODCHUCK WAY
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-2083
Mailing Address - Country:US
Mailing Address - Phone:404-789-0770
Mailing Address - Fax:
Practice Address - Street 1:3296 WOODCHUCK WAY
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-2083
Practice Address - Country:US
Practice Address - Phone:404-789-0770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001686225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant