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Individual
MRS. JULIA A BULATOWICZ
Active
Individual
MRS. JULIA A BULATOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AX812X
MEDICARE INDIVIDUAL PTAN LINKED TO DT
CA
01
—
AX812Y
MEDICARE PTAN
CA
01
—
P00662183
RAILROAD MEDICARE PTAN
CA
01
—
ZZZ21295Z
MEDICARE GROUP PTAN
CA
01
—
ZZZ21296Z
MEDICARE GROUP PTAN
CA
01
—
ZZZ21297Z
MEDICARE GROUP PTAN
CA
Enumeration date
05/03/2006
Last updated
05/04/2020
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