| Doctor Name: | MR. JONATHAN WILLIAM ULRICH |
| NPI Number: | 1962607531 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | 17573 |
| Business Practice Address: | 625 Mount Auburn St 1st Floor Cambridge, MA - 021384555 |
| Business Phone Number: | 6174995665 |
| Business Fax Number: | 6175758611 |
| Mailing Address: | 36 Quint Ave, Apt 5 ALLSTON |
| State: | MA |
| Postal Code: | 021342503 |
| Phone Number: | 6178696019 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 17573 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |