Provider Demographics
NPI:1700061132
Name:HARRISON, JULIA PITZ (PT)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:PITZ
Last Name:HARRISON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:JULIA
Other - Middle Name:PITZ
Other - Last Name:MICHALAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:4100 S. DOUGLAS
Mailing Address - Street 2:INTEGRIS HEALTH
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109
Mailing Address - Country:US
Mailing Address - Phone:405-644-5445
Mailing Address - Fax:405-636-7178
Practice Address - Street 1:4100 S. DOUGLAS
Practice Address - Street 2:INTEGRIS HEALTH
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109
Practice Address - Country:US
Practice Address - Phone:405-644-5445
Practice Address - Fax:405-636-7178
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1991225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist