Individual
MRS. JULIE ANN FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
109981
MO
225100000X
Physical Therapist
Primary
NH2375
NH
225100000X
Physical Therapist
PT009909-L
PA
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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