Provider Demographics
NPI:1417180506
Name:CRIMMINS, JULIA M (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:CRIMMINS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E CARROLL ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5422
Mailing Address - Country:US
Mailing Address - Phone:410-543-7068
Mailing Address - Fax:410-543-7410
Practice Address - Street 1:PENINSULA REGIONAL MEDICAL CENTER
Practice Address - Street 2:100 E CARROLL STREET
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5493
Practice Address - Country:US
Practice Address - Phone:410-543-7068
Practice Address - Fax:410-543-7410
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD19441225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist