Provider Demographics
NPI:1952889669
Name:GUEMPEL, JULIE (DPT)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:GUEMPEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2633
Mailing Address - Country:US
Mailing Address - Phone:973-769-1711
Mailing Address - Fax:
Practice Address - Street 1:563 NORTHFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2426
Practice Address - Country:US
Practice Address - Phone:973-243-2060
Practice Address - Fax:973-243-2387
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA018015002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic