Provider Demographics
NPI:1295006823
Name:GHORMLEY, JULIE ANNE (DPT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:GHORMLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775-2 WEST CORBETT AVENUE
Mailing Address - Street 2:
Mailing Address - City:SWANSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28584
Mailing Address - Country:US
Mailing Address - Phone:910-325-0580
Mailing Address - Fax:910-325-7423
Practice Address - Street 1:13892 N SANDARIO RD STE 140
Practice Address - Street 2:
Practice Address - City:MARANA
Practice Address - State:AZ
Practice Address - Zip Code:85653-9249
Practice Address - Country:US
Practice Address - Phone:520-467-4354
Practice Address - Fax:520-467-4354
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7993225100000X
AZCP044997T225100000X
NCP13519225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist