Provider Demographics
NPI:1144624396
Name:ROGOWSKI, JULIA A (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:A
Last Name:ROGOWSKI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MISS
Other - First Name:JULIA
Other - Middle Name:A
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:13 BROOKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-2041
Mailing Address - Country:US
Mailing Address - Phone:814-505-8901
Mailing Address - Fax:
Practice Address - Street 1:100 DIVISION ST STE 70
Practice Address - Street 2:
Practice Address - City:ANSONIA
Practice Address - State:CT
Practice Address - Zip Code:06401-2147
Practice Address - Country:US
Practice Address - Phone:475-216-4001
Practice Address - Fax:475-216-4002
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10309225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist