Organization
ST JUDE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE LIM CASIPIT DPT (OWNER / AUTHORIZED OFFICIAL)
(979) 317-3754
Entity
Organization
Contact information
Practice address
2245 S ISABELLA RD, MT PLEASANT, MI 48858-2051
(979) 317-3754
Mailing address
2245 S ISABELLA RD, MT PLEASANT, MI 48858-2051
(979) 317-3754
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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