Provider Demographics
NPI:1407068067
Name:WYPER, JULIA L (PT)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:L
Last Name:WYPER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:184 LINCOLN ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1762
Mailing Address - Country:US
Mailing Address - Phone:781-740-4900
Mailing Address - Fax:781-740-4932
Practice Address - Street 1:15 SOUTH AVE APT 1
Practice Address - Street 2:
Practice Address - City:WHITMAN
Practice Address - State:MA
Practice Address - Zip Code:02382-2083
Practice Address - Country:US
Practice Address - Phone:781-447-3060
Practice Address - Fax:781-447-0690
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA15049225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3457726OtherAETNA
MA5510519OtherCCN
MA2179601OtherFIRST HEALTH
MAY68095OtherBCBS IND. PROVIDER NUMBER
MA0396672Medicaid
MA2179601OtherFIRST HEALTH