Individual
MS. JULIA TITTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1899 SMIZER MILL CT, FENTON, MO 63026-2663
(314) 541-1059
Mailing address
1899 SMIZER MILL CT, FENTON, MO 63026-2663
(314) 541-1059
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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