Provider Demographics
NPI:1215492533
Name:PALUSHAJ, JULIA MARIE
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:PALUSHAJ
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 1:47181 MANHATTAN CIR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1834
Mailing Address - Country:US
Mailing Address - Phone:248-444-1672
Mailing Address - Fax:
Practice Address - Street 1:47181 MANHATTAN CIR
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1834
Practice Address - Country:US
Practice Address - Phone:248-444-1672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer