Provider Demographics
NPI:1811496755
Name:BARTEN, JULIA (DR OF PHYS THERAPY)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:BARTEN
Suffix:
Gender:F
Credentials:DR OF PHYS THERAPY
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:BUNNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DR OF PHYS THERAPY
Mailing Address - Street 1:340 DARDANELLI LN STE 23
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1418
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:340 DARDANELLI LN STE 23
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1418
Practice Address - Country:US
Practice Address - Phone:408-884-8356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070021498225100000X
CA294330225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist