Provider Demographics
NPI:1730267683
Name:ROLLINS, JULIE ANDRUS (PT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANDRUS
Last Name:ROLLINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4126
Mailing Address - Country:US
Mailing Address - Phone:828-692-1176
Mailing Address - Fax:828-692-2109
Practice Address - Street 1:538 N OAK ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4126
Practice Address - Country:US
Practice Address - Phone:828-692-1176
Practice Address - Fax:828-692-2109
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5794225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7210967Medicaid
NC7210967Medicaid