Individual
JULIA F ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1271 CASTELLO, #B, FAIRPLAY, CO 80440
(719) 836-1833
(719) 836-1833
Mailing address
PO BOX 731, FAIRPLAY, CO 80440-0731
(719) 836-1833
(719) 836-1833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2774
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
841573836001
ROCKY MOUNTAIN NUMBER
CO
01
—
SA12762
BLUE CROSS & BLUE SHIELD
CO
Enumeration date
07/06/2006
Last updated
07/08/2007
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