Provider Demographics
NPI:1588374375
Name:BRITO, JULIE DENISE (PT)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:DENISE
Last Name:BRITO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:DENISE
Other - Last Name:RUMFELT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3835 E COUNTY 14 1/4 ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-9355
Mailing Address - Country:US
Mailing Address - Phone:336-782-8089
Mailing Address - Fax:
Practice Address - Street 1:2222 S AVENUE A
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8315
Practice Address - Country:US
Practice Address - Phone:336-782-8089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-011630225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist