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Individual
MS. JULIE A POULIN SIEFERT
Active
Individual
MS. JULIE A POULIN SIEFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5038-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265-039
ATHLETIC TRAINER LICENSE
WI
05
—
40273200
—
WI
01
—
5038-024
PHYSICAL THERAPIST LICENS
WI
01
—
L1181510
PHYSICAL THERAPY LICENSE
MI
Enumeration date
04/13/2008
Last updated
04/13/2008
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