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Individual

DR. CECILLE CANIMO AUGUSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
732 NEWMAN SPRINGS RD, SUITE 300, LINCROFT, NJ 07738-1541
(732) 747-1262
Mailing address
36 SUGAR MAPLE LN, TINTON FALLS, NJ 07724-2716
(201) 240-4292

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
40QA00858200
NJ

Other

Enumeration date
07/23/2014
Last updated
07/23/2014
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