Provider Demographics
NPI:1386611820
Name:GARAGLIANO, DEBORAH A B (PT)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A B
Last Name:GARAGLIANO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 LYMAN AVE
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-3044
Mailing Address - Country:US
Mailing Address - Phone:978-568-0894
Mailing Address - Fax:
Practice Address - Street 1:131 COOLIDGE ST
Practice Address - Street 2:STE 222
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-1331
Practice Address - Country:US
Practice Address - Phone:978-562-0345
Practice Address - Fax:978-562-0257
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2593225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY65130OtherBLUE CROSS BLUE SHIELD
MA469185/GARAGLIAOtherTUFTS HEALTH PLAN
MA0343285Medicaid
MA5616504OtherUNITED HEALTHCARE
MA5616504OtherUNITED HEALTHCARE