Doctor Name: | MR. JOHN P SICILIANO |
NPI Number: | 1164533253 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 40QA00887200 |
Business Practice Address: | 2510 Belmar Blvd J1 J2 Wall, NJ - 07719 |
Business Phone Number: | 7326811122 |
Business Fax Number: | 7326810999 |
Mailing Address: | Po Box 1703, WALL |
State: | NJ |
Postal Code: | 07719 |
Phone Number: | 7326811122 |
Fax Number: | 7326810999 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00887200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |