Provider Demographics
NPI:1316831787
Name:WOPAT, JULIA CAROLYN-ROSE (DPT)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:CAROLYN-ROSE
Last Name:WOPAT
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 1:211 SWAN ST
Mailing Address - Street 2:
Mailing Address - City:GENOA
Mailing Address - State:WI
Mailing Address - Zip Code:54632-2900
Mailing Address - Country:US
Mailing Address - Phone:608-304-4267
Mailing Address - Fax:
Practice Address - Street 1:100 BASECAMP WAY # 105
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-5967
Practice Address - Country:US
Practice Address - Phone:970-668-3169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0020629225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist