Individual
JULIA NICOLE PENDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6470 GA HIGHWAY 400, CUMMING, GA 30028-3460
(678) 888-1590
(678) 731-1590
Mailing address
1880 BLOSSOM CREEK LN, CUMMING, GA 30040-5394
(678) 888-1590
(678) 731-1590
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT009627
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003108614C
—
GA
Enumeration date
03/24/2010
Last updated
02/10/2016
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