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NPI Code Detail

MEDICARE: JUDITH CEGLARSKI

MEDICARE: JUDITH CEGLARSKI
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
1225200000XPhysical Therapy Assistant814MA

General Provider Information

NPI Number : 1356464291
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH CEGLARSKI
Provider Business Mailing Address
First Line : 9 ATLANTIC ST
Second Line :
City : GLOUCESTER
State : MA
Zip : 01930-1623
Country : US
Telephone Number : 978-283-0491
Fax Number :
Provider Business Practice Location Address
First Line : 9 ATLANTIC ST
Second Line :
City : GLOUCESTER
State : MA
Zip : 01930-1623
Country : US
Telephone Number : 978-283-0491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2007
Last Update Date : 07/08/2007

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Directions to “ JUDITH CEGLARSKI ” Practice Location

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