Provider Demographics
NPI:1831342112
Name:DODD, JULIA MARIE (PT)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:DODD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:MARIE
Other - Last Name:DODD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:7657 VERANDAH CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-7976
Mailing Address - Country:US
Mailing Address - Phone:678-438-3193
Mailing Address - Fax:931-489-2036
Practice Address - Street 1:7657 VERANDAH CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-7976
Practice Address - Country:US
Practice Address - Phone:678-438-3193
Practice Address - Fax:931-489-2036
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11070225100000X
CO16003225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist