Provider Demographics
NPI:1598760506
Name:CIOLEK, CATHY HAINES (PT, GCS)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:HAINES
Last Name:CIOLEK
Suffix:
Gender:F
Credentials:PT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CHURCHILL LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4319
Mailing Address - Country:US
Mailing Address - Phone:302-234-3499
Mailing Address - Fax:
Practice Address - Street 1:053 MCKINLY LAB, DELAWARE AVE
Practice Address - Street 2:UNIVERSITY OF DELAWARE, NOA CLINIC
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19716
Practice Address - Country:US
Practice Address - Phone:302-831-8893
Practice Address - Fax:302-831-4468
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-00006212251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics