Individual
CAROL CIACCIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
115 SUNSET RD, BURLINGTON, NJ 08016-4153
(609) 387-3620
Mailing address
557 ISLAND RD, COLUMBUS, NJ 08022-2105
(609) 324-7894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00609300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00609300
P.T. LICENSE
NJ
Enumeration date
05/04/2007
Last updated
07/08/2007
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