Individual
MS. JULIE CLARE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
500 SWAIN AVE, SEBASTOPOL, CA 95472-4323
(707) 829-1250
Mailing address
500 SWAIN AVE, SEBASTOPOL, CA 95472-4323
(707) 829-1250
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
PT 14015
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT 14015
CA
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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