Doctor Name: | DR. CORINNE MARIE SICOLA |
NPI Number: | 1225187842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 40QA00926000 |
Business Practice Address: | 411 Us Highway 206 Suite 16 Hillsborough, NJ - 088445024 |
Business Phone Number: | 9088744522 |
Business Fax Number: | 9088744531 |
Mailing Address: | 428 Farmer Rd, BRIDGEWATER |
State: | NJ |
Postal Code: | 088071537 |
Phone Number: | 9085262761 |
Fax Number: | 9088744531 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 40QA00926000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |