Healthcare Provider Details

I. General information

NPI: 1942279393
Provider Name (Legal Business Name): FRANK JOSEPH CIUBA DPT, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 12/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 SHELLY RD
HARLEYSVILLE PA
19438-1281
US

IV. Provider business mailing address

2740 SHELLY RD
HARLEYSVILLE PA
19438-1281
US

V. Phone/Fax

Practice location:
  • Phone: 215-513-1816
  • Fax: 215-513-1785
Mailing address:
  • Phone: 215-513-1816
  • Fax: 215-513-1785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPT002940E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberDAPT000015
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: