Individual provider · Type 1 NPI

Julie Wells Koenig, MPT

Pediatric Physical Therapist · Charlotte, NC

NPI number 1003878406 Active

Practice location

4012 Park Rd, Suite 200
Charlotte, NC 28209-2377

Call (704) 332-4834 Map

Fax (704) 372-9653

Mailing address

4132 River Oaks Rd
Clover, SC 29710-8051

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X8798 (NC)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1003878406

Julie Wells Koenig, MPT's National Provider Identifier is 1003878406, issued on Apr 3, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Charlotte, NC. The record was last updated on Mar 25, 2012.