Individual
MRS. CRISTI DODGE JULIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1423 W CENTRE AVE, PORTAGE, MI 49024-5323
(269) 323-4300
(269) 323-4449
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016276
MI
2251X0800X
Orthopedic Physical Therapist
—
MI
Other
Enumeration date
08/13/2013
Last updated
03/09/2022
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