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NPI Code Detail

MEDICARE: JULIA MARIE CLEARY

MEDICARE: JULIA MARIE CLEARY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT6916ME

General Provider Information

NPI Number : 1225869233
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA MARIE CLEARY
Provider Business Mailing Address
First Line : 91 WEBBER HILL RD
Second Line :
City : KENNEBUNK
State : ME
Zip : 04043-6317
Country : US
Telephone Number : 207-615-9900
Fax Number :
Provider Business Practice Location Address
First Line : 561 CONGRESS ST
Second Line :
City : PORTLAND
State : ME
Zip : 04101-3308
Country : US
Telephone Number : 207-536-4968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2024
Last Update Date : 12/09/2025

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Directions to “ JULIA MARIE CLEARY ” Practice Location

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