Provider Demographics
NPI:1740854017
Name:ROSENGARTEN, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:ROSENGARTEN
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 1:23 RAISIN TREE CIR
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6365
Mailing Address - Country:US
Mailing Address - Phone:305-873-4888
Mailing Address - Fax:
Practice Address - Street 1:725 MOUNT WILSON LN
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-1105
Practice Address - Country:US
Practice Address - Phone:410-484-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26470225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist