Provider Demographics
NPI:1366088551
Name:MARAZZO, JULIE CHRISTINE (DPT)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:CHRISTINE
Last Name:MARAZZO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7290 NAVAJO RD STE 111
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-1631
Mailing Address - Country:US
Mailing Address - Phone:619-535-6964
Mailing Address - Fax:619-724-6427
Practice Address - Street 1:7290 NAVAJO RD STE 111
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-1631
Practice Address - Country:US
Practice Address - Phone:619-535-6964
Practice Address - Fax:619-724-6427
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA297499225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist