Provider Demographics
NPI:1306114731
Name:LEVIN, JULIA ALEXANDRA (DPT)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ALEXANDRA
Last Name:LEVIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ALEXANDRA
Other - Last Name:KRINSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1753 FOXWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:JAMISON
Mailing Address - State:PA
Mailing Address - Zip Code:18929
Mailing Address - Country:US
Mailing Address - Phone:267-265-4440
Mailing Address - Fax:215-947-4141
Practice Address - Street 1:100 GREEN LANE
Practice Address - Street 2:
Practice Address - City:BRISTOE
Practice Address - State:PA
Practice Address - Zip Code:19007
Practice Address - Country:US
Practice Address - Phone:215-826-0166
Practice Address - Fax:215-947-4141
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021766225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist