Individual
JULIE ANN HOBEROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
917 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1443
(765) 463-2200
(765) 463-3625
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010707A
IN
225100000X
Physical Therapist
2009017278
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000746238
ANTHEM
IN
Enumeration date
07/08/2009
Last updated
03/29/2012
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