MEDICARE: JULIANNA REED PT, DPT

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
1	225100000X	Physical Therapist	PTL26915	MA
2	225100000X	Physical Therapist	40QA02171500	NJ

General Provider Information

NPI Number	:	1912688839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANNA REED PT, DPT

Provider Business Mailing Address
First Line	:	1141 LAWNTON AVE
Second Line	:
City	:	WEST DEPTFORD
State	:	NJ
Zip	:	08096-5027
Country	:	US
Telephone Number	:	609-313-6045
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 OLD WEST CENTRAL ST STE 101
Second Line	:
City	:	FRANKLIN
State	:	MA
Zip	:	02038-3051
Country	:	US
Telephone Number	:	508-794-3697
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2023
Last Update Date	:	07/25/2023

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