Individual
JULIE CORRALEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
151 LYNCH CREEK WAY, PETALUMA, CA 94954-2342
(707) 889-7478
Mailing address
151 LYNCH CREEK WAY, PETALUMA, CA 94954-2342
(707) 889-7478
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8445
CA
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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