Provider Demographics
NPI:1154416238
Name:ALBIN, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:ALBIN
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 1:6665 BUCKMAN RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MI
Mailing Address - Zip Code:49241-9719
Mailing Address - Country:US
Mailing Address - Phone:517-474-8954
Mailing Address - Fax:
Practice Address - Street 1:3700 DEARING RD
Practice Address - Street 2:
Practice Address - City:SPRING ARBOR
Practice Address - State:MI
Practice Address - Zip Code:49283-9798
Practice Address - Country:US
Practice Address - Phone:151-775-0270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant