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Individual

MS. JULIE A POULIN SIEFERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5038-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
265-039
ATHLETIC TRAINER LICENSE
WI
05
40273200
WI
01
5038-024
PHYSICAL THERAPIST LICENS
WI
01
L1181510
PHYSICAL THERAPY LICENSE
MI
Enumeration date
04/13/2008
Last updated
04/13/2008
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