Provider Demographics
NPI:1902887326
Name:GIGLIO, KELLY MARIE (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:MARIE
Last Name:GIGLIO
Suffix:
Gender:F
Credentials:MSPT
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Mailing Address - Street 1:2 DELAVERGNE AVE
Mailing Address - Street 2:C/O CENTER FOR PHYSICAL THERAPY
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-1202
Mailing Address - Country:US
Mailing Address - Phone:845-297-4789
Mailing Address - Fax:845-297-8596
Practice Address - Street 1:2 DELAVERGNE AVE
Practice Address - Street 2:C/O CENTER FOR PHYSICAL THERAPY
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-1202
Practice Address - Country:US
Practice Address - Phone:845-297-4789
Practice Address - Fax:845-297-8596
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY0223502251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
7343425OtherAETNA PPO
NYQ05Q9OtherBLUE CROSS BLUE SHIELD
000409358001OtherHEALTH NOW
2276715OtherUNITED HEALTH CARE
10086274OtherCDPHP
2164898OtherCCN
3093191OtherAETNA HMO
710708OtherMVP
P2988525OtherOXFORD
833200OtherMANAGED PHYSICAL NETWORK
98441OtherOPERATING ENGNRS LCL 825