Provider Demographics
NPI:1083437511
Name:DELAND, JULIE CHRISTINE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:CHRISTINE
Last Name:DELAND
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 1:629 COPPERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-8805
Mailing Address - Country:US
Mailing Address - Phone:937-545-8326
Mailing Address - Fax:
Practice Address - Street 1:4375 S COUNTY ROAD 25A
Practice Address - Street 2:
Practice Address - City:TIPP CITY
Practice Address - State:OH
Practice Address - Zip Code:45371-2956
Practice Address - Country:US
Practice Address - Phone:937-667-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist