Provider Demographics
NPI:1487990743
Name:AJUNA, JULIUS (PTA)
Entity type:Individual
Prefix:
First Name:JULIUS
Middle Name:
Last Name:AJUNA
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12255 CLAUDE CT APT 828
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80241-3372
Mailing Address - Country:US
Mailing Address - Phone:303-210-5875
Mailing Address - Fax:
Practice Address - Street 1:12255 CLAUDE CT APT 828
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80241-3372
Practice Address - Country:US
Practice Address - Phone:303-210-5875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12354225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant