Individual
BREANNA CIARDULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
21 CEDAR AVE STE B1, FAIR HAVEN, NJ 07704-3264
(732) 888-3912
Mailing address
154 MADISON AVE, VALHALLA, NY 10595-1833
(914) 329-9802
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01209100
NJ
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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