Provider Demographics
NPI:1538362710
Name:WHITMAN, JULIE M (PT,DSC,OCS,FAAOMPT)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:M
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:PT,DSC,OCS,FAAOMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 WATERLILY CT
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-8869
Mailing Address - Country:US
Mailing Address - Phone:916-872-5193
Mailing Address - Fax:
Practice Address - Street 1:5814 LONETREE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-3785
Practice Address - Country:US
Practice Address - Phone:916-206-3612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36190261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy