Provider Demographics
NPI:1578314860
Name:JULIANO, TERRY B JR
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:B
Last Name:JULIANO
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 SPRUCE ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-6044
Mailing Address - Country:US
Mailing Address - Phone:856-213-7816
Mailing Address - Fax:
Practice Address - Street 1:1528 WALNUT ST STE 1210
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-3609
Practice Address - Country:US
Practice Address - Phone:215-839-0989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist