Provider Demographics
NPI:1912688839
Name:REED, JULIANNA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:JULES
Other - Middle Name:
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1141 LAWNTON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-5027
Mailing Address - Country:US
Mailing Address - Phone:609-313-6045
Mailing Address - Fax:
Practice Address - Street 1:620 OLD WEST CENTRAL ST STE 101
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3051
Practice Address - Country:US
Practice Address - Phone:508-794-3697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPTL26915225100000X
NJ40QA02171500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist