Individual
IVY KALUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
114 HAYES MILL RD, ATCO, NJ 08004-2457
(856) 753-2000
Mailing address
2249 LEON CT, ATCO, NJ 08004-2821
(609) 678-6536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01205000
NJ
Other
Enumeration date
12/07/2007
Last updated
04/09/2018
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