Provider Demographics
NPI:1194920785
Name:ELKINS, JULIEANN (MPT)
Entity type:Individual
Prefix:MS
First Name:JULIEANN
Middle Name:
Last Name:ELKINS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12140 MOORPARK ST
Mailing Address - Street 2:#204
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-5213
Mailing Address - Country:US
Mailing Address - Phone:818-506-9413
Mailing Address - Fax:
Practice Address - Street 1:14301 VENTURA BLVD
Practice Address - Street 2:SHERMAN OAKS
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2716
Practice Address - Country:US
Practice Address - Phone:818-995-0918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT32722261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy