Provider Demographics
NPI:1992085039
Name:GELDERMANN, JULAINE E (DPT)
Entity type:Individual
Prefix:DR
First Name:JULAINE
Middle Name:E
Last Name:GELDERMANN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 HALL ST
Mailing Address - Street 2:SUITE G/H
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3478
Mailing Address - Country:US
Mailing Address - Phone:603-387-0119
Mailing Address - Fax:
Practice Address - Street 1:124 HALL ST
Practice Address - Street 2:SUITE G/H
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3478
Practice Address - Country:US
Practice Address - Phone:603-387-0119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-21
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH17702251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics