Provider Demographics
NPI:1588021448
Name:DALY, JULIA (DPT, PT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:DALY
Suffix:
Gender:F
Credentials:DPT, PT
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1 CREDIT UNION WAY FL 3
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4633
Mailing Address - Country:US
Mailing Address - Phone:781-961-3370
Mailing Address - Fax:781-961-1291
Practice Address - Street 1:67 PARKHURST RD UNIT 3
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1518
Practice Address - Country:US
Practice Address - Phone:978-935-4055
Practice Address - Fax:978-455-2165
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA28312255A2300X
MA23141225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer