Most Relevant Information
Provider Data
| NPI Number: | 1003249855 |
| Provider Name: | JULIE GILMAN WALLACE P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PTL 0012349 |
Most Important Dates
| Enumeration Date: | 08/15/2013 |
| Last Updated: | 08/15/2013 |
Provider Practice Location
1601 E 19TH AVE
DENVER
CO
802181216
Practice Location Phone/Fax
| Phone: | 7204023801 |
| Fax: | 7204023820 |
Provider Mailing Location
1601 E 19TH AVE
DENVER
CO
802181216
Provider Mailing Phone/Fax
| Phone: | 7204023801 |
| Fax: | 7204023820 |