Most Relevant Information
Provider Data
| NPI Number: | 1003245127 |
| Provider Name: | JULIE LYNN SKUPIEN P.T.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 5502000928 |
Most Important Dates
| Enumeration Date: | 11/08/2013 |
| Last Updated: | 11/08/2013 |
Provider Practice Location
1000 E TINKHAM AVE
LUDINGTON
MI
494311568
Practice Location Phone/Fax
| Phone: | 2318456291 |
| Fax: |
Provider Mailing Location
1000 E TINKHAM AVE
LUDINGTON
MI
494311568
Provider Mailing Phone/Fax
| Phone: | 2318456291 |
| Fax: |