Provider Demographics
NPI:1285243659
Name:LANDRIGAN, JULIE (ATC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:LANDRIGAN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2918 FENWICK VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-8474
Mailing Address - Country:US
Mailing Address - Phone:518-210-5150
Mailing Address - Fax:
Practice Address - Street 1:2918 FENWICK VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-8474
Practice Address - Country:US
Practice Address - Phone:518-210-5150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer