Individual
MR. AUGUSTINE CIARDULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2410 S BROAD ST, PHILA, PA 19145-4418
(215) 334-4400
(215) 334-4531
Mailing address
158 BISHOP DR, ASTON, PA 19014-1314
(610) 459-5486
(215) 334-4531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006311L
PA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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