Basic Information
Provider Information
NPI: 1699963124
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOBBS
FirstName: JULIET
MiddleName: IRENE
NamePrefix:  
NameSuffix:  
Credential: MSPT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800 CRESCENT CENTRE DR STE 600
Address2:  
City: FRANKLIN
State: TN
PostalCode: 370677286
CountryCode: US
TelephoneNumber: 6153731350
FaxNumber: 6152219054
Practice Location
Address1: 5285 HIGHWAY 280 STE 109
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352420317
CountryCode: US
TelephoneNumber: 2056070903
FaxNumber: 2056070904
Other Information
ProviderEnumerationDate: 10/10/2007
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPTH3481ALY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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