Healthcare Provider Details

I. General information

NPI: 1023309309
Provider Name (Legal Business Name): JULIE A CLOUGH-ALMEIDA PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2011
Last Update Date: 02/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 W MAIN RD SUITE 12
MIDDLETOWN RI
02842-6367
US

IV. Provider business mailing address

1341 W MAIN RD SUITE 12
MIDDLETOWN RI
02842-6367
US

V. Phone/Fax

Practice location:
  • Phone: 401-619-1988
  • Fax: 401-619-1988
Mailing address:
  • Phone: 401-619-1988
  • Fax: 401-619-1988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number00847
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: