Provider Demographics
NPI:1386135812
Name:LAMBERT, JULIENNE MARIE (DPT)
Entity type:Individual
Prefix:
First Name:JULIENNE
Middle Name:MARIE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 GARRETT RD
Mailing Address - Street 2:
Mailing Address - City:STATHAM
Mailing Address - State:GA
Mailing Address - Zip Code:30666-3117
Mailing Address - Country:US
Mailing Address - Phone:770-301-5485
Mailing Address - Fax:
Practice Address - Street 1:1181 GARRETT RD
Practice Address - Street 2:
Practice Address - City:STATHAM
Practice Address - State:GA
Practice Address - Zip Code:30666-3117
Practice Address - Country:US
Practice Address - Phone:770-301-5485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist