Provider Demographics
NPI:1730390071
Name:MCDONNELL, JULIA L (DPT,CERT MDT,CLT)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:L
Last Name:MCDONNELL
Suffix:
Gender:F
Credentials:DPT,CERT MDT,CLT
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:K
Other - Last Name:LAUKYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT,CERT MDT,CLT
Mailing Address - Street 1:915 OLD FERN HILL RD
Mailing Address - Street 2:SUITE 4, BLDG A
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4269
Mailing Address - Country:US
Mailing Address - Phone:610-738-2480
Mailing Address - Fax:610-738-2485
Practice Address - Street 1:915 OLD FERN HILL RD
Practice Address - Street 2:SUITE 4, BUILDING A
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4269
Practice Address - Country:US
Practice Address - Phone:610-738-2480
Practice Address - Fax:610-738-2485
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013430L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist