Individual
JULIE VEDUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
24345 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1285
(586) 563-3300
(586) 563-3313
Mailing address
24345 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1285
(586) 563-3300
(586) 563-3313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004331
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P33330004
MEDICARE PTAN
MI
Enumeration date
05/25/2010
Last updated
11/05/2010
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