Provider Demographics
NPI:1578524427
Name:LEBLANC, JULIA E (PT DPT)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:E
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:SALAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:904C TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3303
Mailing Address - Country:US
Mailing Address - Phone:508-845-3500
Mailing Address - Fax:
Practice Address - Street 1:564 MAIN ST
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-5516
Practice Address - Country:US
Practice Address - Phone:781-894-8880
Practice Address - Fax:781-894-1121
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17431225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist