Provider Demographics
NPI:1407062375
Name:CASTIGLIONI, MICHELLE (LPT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:CASTIGLIONI
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 KOFFEL RD
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-3615
Mailing Address - Country:US
Mailing Address - Phone:215-393-7662
Mailing Address - Fax:
Practice Address - Street 1:1125 LIMEKILN PIKE
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-4004
Practice Address - Country:US
Practice Address - Phone:215-643-3160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006630L2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics