Provider Demographics
NPI:1295926814
Name:DIMMICK, JULIA (DPT)
Entity type:Individual
Prefix:MR
First Name:JULIA
Middle Name:
Last Name:DIMMICK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LUMBER ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-2363
Mailing Address - Country:US
Mailing Address - Phone:508-544-1540
Mailing Address - Fax:508-544-1541
Practice Address - Street 1:1 LUMBER ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-2363
Practice Address - Country:US
Practice Address - Phone:508-544-1540
Practice Address - Fax:508-544-1541
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02101225100000X
MA17475225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist