Basic Information
Provider Information
NPI: 1205335361
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAJCHER
FirstName: JULIE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1327 BONNIEVIEW AVE APT 311
Address2:  
City: LAKEWOOD
State: OH
PostalCode: 441072378
CountryCode: US
TelephoneNumber: 4406656120
FaxNumber:  
Practice Location
Address1: 2801 E ROYALTON RD
Address2:  
City: BROADVIEW HEIGHTS
State: OH
PostalCode: 441472827
CountryCode: US
TelephoneNumber: 4405264770
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/05/2018
LastUpdateDate: 02/05/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT017301OHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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