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Individual
JULIA MADISON
Active
Individual
JULIA MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT028722
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT028722
STATE LICENSE
PA
Enumeration date
08/24/2020
Last updated
02/26/2021
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