Individual
JULIE BUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2041 ROSECRANS AVE STE 245, EL SEGUNDO, CA 90245-7509
(888) 223-8002
Mailing address
1207 NW 10TH ST, BATTLE GROUND, WA 98604-3203
(360) 624-0962
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
8243
OR
225200000X
Physical Therapy Assistant
Primary
P160038835
WA
225200000X
Physical Therapy Assistant
PTA1981
NM
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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