Julienne Elizabeth Garlock
Individual provider Active NPI Physical Therapy Assistant · Fostoria, OH
NPI 1780157016 · NPPES record last updated Jan 9, 2019
Key facts
- NPI
- 1780157016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA05338 (OH)
- Practice address
- 725 Columbus Ave
Fostoria, OH 44830-3255 - Phone
- (419) 435-1801
- NPI assigned
- Jan 9, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA05338 | OH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA05338 | OH | Yes |
Addresses
Primary practice location
725 Columbus Ave
Fostoria, OH 44830-3255
Mailing address
725 Columbus Ave
Fostoria, OH 44830-3255
Other providers in Fostoria, OH
- Gabrielle Bliss Fox
- Jessica Caitlin Gagen
- Bridget Gallegos
- Carolyn R. Garcia
- Sierra Garcia
- Good Shepherd Home
- Good Shepherd Home
- Good Shepherd Home
- Tonia Marie Groves
- Gayle D Guernsey
All providers in Fostoria, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2019. 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.