Provider Demographics
NPI:1710092002
Name:SPEARMAN, JULIA (PT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SPEARMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 BUCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-4506
Mailing Address - Country:US
Mailing Address - Phone:919-724-4235
Mailing Address - Fax:919-336-4673
Practice Address - Street 1:3106 BUCKINGHAM RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-4506
Practice Address - Country:US
Practice Address - Phone:919-724-4235
Practice Address - Fax:919-336-4673
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4821225100000X
NC11222225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist