Individual
JULIE SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CANAL ST STE 3, LOWELL, MA 01852-4589
(617) 491-0264
Mailing address
110 CANAL ST STE 3, LOWELL, MA 01852-4589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18691
MA
Other
Enumeration date
09/17/2012
Last updated
09/12/2024
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