Individual
MRS. JULIE WELLS KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4012 PARK RD, SUITE 200, CHARLOTTE, NC 28209-2377
(704) 332-4834
(704) 372-9653
Mailing address
4132 RIVER OAKS RD, CLOVER, SC 29710-8051
(803) 619-4294
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8798
NC
Other
Enumeration date
04/03/2006
Last updated
03/25/2012
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