Julie Ann Gates
Individual provider Active NPI Developmental Therapist · Freeport, FL
NPI 1508373564 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1508373564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 112 Date Palm LN
Freeport, FL 32439-3737 - Phone
- (360) 763-2743
- NPI assigned
- Dec 29, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
112 Date Palm LN
Freeport, FL 32439-3737
Mailing address
112 Date Palm LN
Freeport, FL 32439-3737
Phone (360) 763-2743
Other providers in Freeport, FL
- Freeport Family Dentistry, LLC
- Freeport Family Medicine LLC
- Freeport Physical Therapy, LLC
- Freeport Vision Center LLC
- Ashlyn Garcia
- Alana Shea Gray
- Hammock Bay Dental Group LLC
- Hammond Speech Therapy LLC
- Claudia Hammond
- Alexandra D Harvey
All providers in Freeport, FL · Developmental Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.