Provider Demographics
NPI:1104336098
Name:CASIPIT, JULIE LIM (DPT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:LIM
Last Name:CASIPIT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2245 S ISABELLA RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2051
Mailing Address - Country:US
Mailing Address - Phone:989-400-7135
Mailing Address - Fax:989-317-3754
Practice Address - Street 1:2245 S ISABELLA RD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2051
Practice Address - Country:US
Practice Address - Phone:989-400-7135
Practice Address - Fax:989-317-3754
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-04
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5501008639225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist