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Organization
POOLE AVENUE PHYSICAL THERAPY, PC
Active
Organization
POOLE AVENUE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL O'LEARY P.T. (OWNER/PHYSICAL THERAPIST)
(723) 739-4666
Entity
Organization
Contact information
Practice address
812 POOLE AVE, SUITE D, HAZLET, NJ 07730-2024
(732) 739-4666
(732) 739-0236
Mailing address
812 POOLE AVE, SUITE D, HAZLET, NJ 07730-2024
(732) 739-4666
(732) 739-0236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116115400
US DEPT OF LABOR
NJ
01
—
2451525
AETNA US HEALTHCARE
NJ
01
—
509522
UNITEDHEALTHCARE
NJ
Enumeration date
10/24/2006
Last updated
07/08/2010
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