Provider Demographics
NPI:1194463794
Name:GELDNER, JULIE (MSOT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:GELDNER
Suffix:
Gender:F
Credentials:MSOT
Other - Prefix:
Other - First Name:JOOLIE
Other - Middle Name:
Other - Last Name:GELDNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:96 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-4830
Mailing Address - Country:US
Mailing Address - Phone:415-238-6745
Mailing Address - Fax:
Practice Address - Street 1:12 SHUMAN AVE STE 16
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6020
Practice Address - Country:US
Practice Address - Phone:207-623-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics