| Doctor Name: | DR. CECILLE CANIMO AUGUSTA |
| NPI Number: | 1417365388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 40QA00858200 |
| Business Practice Address: | 732 Newman Springs Rd Suite 300 Lincroft, NJ - 077381541 |
| Business Phone Number: | 7327471262 |
| Business Fax Number: | |
| Mailing Address: | 36 Sugar Maple Ln, TINTON FALLS |
| State: | NJ |
| Postal Code: | 077242716 |
| Phone Number: | 2012404292 |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2014 |
| NPI Last Update Date: | 07/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 40QA00858200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |