Provider Demographics
NPI:1194995019
Name:DELPH, JULIE M (DPT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:DELPH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:M
Other - Last Name:COZART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:141 N EAST ST
Mailing Address - Street 2:
Mailing Address - City:CROTHERSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47229-9639
Mailing Address - Country:US
Mailing Address - Phone:812-793-3752
Mailing Address - Fax:812-793-3752
Practice Address - Street 1:141 N EAST ST
Practice Address - Street 2:
Practice Address - City:CROTHERSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47229-9639
Practice Address - Country:US
Practice Address - Phone:812-793-3752
Practice Address - Fax:812-793-3752
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05009332A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist