Individual
JULIA ROUNDTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6940 OLIVE BLVD, UNIVERSITY CITY, MO 63130-2544
(314) 781-0679
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023035410
MO
2255A2300X
Athletic Trainer
2016029411
MO
Other
Enumeration date
01/06/2017
Last updated
09/05/2023
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