Provider Demographics
NPI:1629744537
Name:FLAHERTY, JULIA KATHRYN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:KATHRYN
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:KATHRYN
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:99 S MAIN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:ASSONET
Mailing Address - State:MA
Mailing Address - Zip Code:02702-1666
Mailing Address - Country:US
Mailing Address - Phone:781-927-5342
Mailing Address - Fax:
Practice Address - Street 1:541 MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1857
Practice Address - Country:US
Practice Address - Phone:781-340-1480
Practice Address - Fax:781-340-1481
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25577225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist