Provider Demographics
NPI:1023309309
Name:CLOUGH-ALMEIDA, JULIE A (PT)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:CLOUGH-ALMEIDA
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 1:1341 W MAIN RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-6367
Mailing Address - Country:US
Mailing Address - Phone:401-619-1988
Mailing Address - Fax:401-619-1988
Practice Address - Street 1:1341 W MAIN RD
Practice Address - Street 2:SUITE 12
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-6367
Practice Address - Country:US
Practice Address - Phone:401-619-1988
Practice Address - Fax:401-619-1988
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00847174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist