Individual
MR. JULIAN FODDRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 N ELM ST, HIGH POINT, NC 27262-3917
(336) 885-0141
Mailing address
82 ALAN RD, MARTINSVILLE, VA 24112-7717
(276) 288-4638
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306606072
VA
225200000X
Physical Therapy Assistant
Primary
CP012054A
NC
Other
Enumeration date
08/15/2022
Last updated
11/23/2022
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