Individual
MISS JULIE LYNN WINGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19945
MD
225100000X
Physical Therapist
Primary
PT016491
PA
Other
Enumeration date
05/03/2011
Last updated
04/30/2019
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