Provider Demographics
NPI:1073555447
Name:GIULIANI, LAURA TRIBOLET (PT MSPT)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:TRIBOLET
Last Name:GIULIANI
Suffix:
Gender:F
Credentials:PT MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 KENT DR
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1926
Mailing Address - Country:US
Mailing Address - Phone:215-661-8446
Mailing Address - Fax:215-661-8426
Practice Address - Street 1:1345 EASTON RD
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:PA
Practice Address - Zip Code:19001-2401
Practice Address - Country:US
Practice Address - Phone:215-885-2022
Practice Address - Fax:215-885-7408
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007966L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30016427OtherKEYSTONE MERCY
PA5745593OtherAETNA HEALTH PLAN
PA0724926000OtherINDEPENDENCE BLUE CROSS