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NPI Code Detail

MEDICARE: DR. JENNIFER CIARDULLI DPT

MEDICARE: DR. JENNIFER CIARDULLI DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist9478CT

General Provider Information

NPI Number : 1578824561
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER CIARDULLI DPT
Provider Business Mailing Address
First Line : 2 BARNES INDUSTRIAL RD S
Second Line :
City : WALLINGFORD
State : CT
Zip : 06492-2486
Country : US
Telephone Number : 203-626-0160
Fax Number : 203-294-6734
Provider Business Practice Location Address
First Line : 469 W MAIN ST
Second Line :
City : BRANFORD
State : CT
Zip : 06405-3400
Country : US
Telephone Number : 203-315-6780
Fax Number : 203-466-8527
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2012
Last Update Date : 05/18/2026

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Directions to “ DR. JENNIFER CIARDULLI DPT” Practice Location

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