Provider Demographics
NPI:1760253199
Name:DIFRONZO, JULIA N/A (LAT, ATC)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:N/A
Last Name:DIFRONZO
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 ALLGROVE LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-2156
Mailing Address - Country:US
Mailing Address - Phone:978-882-1995
Mailing Address - Fax:
Practice Address - Street 1:20 ALLGROVE LN
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-2156
Practice Address - Country:US
Practice Address - Phone:978-882-1995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20000504222255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer