Individual
JULIE A DRAFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1177 N. WARSON RD, ST. LOUIS, MO 63132
(314) 569-2211
(314) 569-3656
Mailing address
1177 N. WARSON RD, ST. LOUIS, MO 63132
(314) 569-2211
(314) 569-3656
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2005025971
MO
2251X0800X
Orthopedic Physical Therapist
2005025971
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
487588402
—
MO
Enumeration date
09/28/2006
Last updated
09/05/2012
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