Organization
JULIA OTWELL LLC
Active
Organization
JULIA OTWELL LLC
Active
Other names
Pure Form Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA L OTWELL DPT (PHYSICAL THERAPIST)
(231) 252-5773
Entity
Organization
Contact information
Practice address
1129 WOODMERE AVE STE A, TRAVERSE CITY, MI 49686-4287
(231) 252-5773
Mailing address
521 DEPOT CT APT H, TRAVERSE CITY, MI 49686-3644
(231) 252-5773
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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