Provider Demographics
NPI:1336347699
Name:LOUIS, JULMINE (RPT)
Entity type:Individual
Prefix:MISS
First Name:JULMINE
Middle Name:
Last Name:LOUIS
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 RUNNERS WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-5408
Mailing Address - Country:US
Mailing Address - Phone:954-722-0347
Mailing Address - Fax:954-722-0347
Practice Address - Street 1:1726 NW 36TH ST UNIT 22
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-5434
Practice Address - Country:US
Practice Address - Phone:305-638-0975
Practice Address - Fax:305-638-0977
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 16976225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist