Provider Demographics
NPI:1912028416
Name:CIOFFI, TRACY LYNNE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:LYNNE
Last Name:CIOFFI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ARGO DR
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-1908
Mailing Address - Country:US
Mailing Address - Phone:856-589-1009
Mailing Address - Fax:
Practice Address - Street 1:22 ARGO DR
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-1908
Practice Address - Country:US
Practice Address - Phone:856-589-1009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QB00082800225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant