Individual
CHARLES J CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
660 COMMONWEALTH AVE, WARWICK, RI 02886-2707
(401) 691-4511
Mailing address
159 OLD COUNTY RD, SMITHFIELD, RI 02917-2909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00633
RI
225200000X
Physical Therapy Assistant
2517
MA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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