Individual
DR. JULIA BRETT AVIDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1140 EDWARDS VILLAGE BLVD, B208, EDWARDS, CO 81632
(970) 569-3883
Mailing address
PO BOX 4883, EAGLE, CO 81631
(970) 688-2211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 24831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1211937
PT
TX
01
—
24831
PT
FL
01
—
PT35960
LICENSE
CA
Enumeration date
08/21/2009
Last updated
01/03/2019
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