Individual
CARISSA LYNN NOVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
103 OLD MARLTON PIKE STE 111, MEDFORD, NJ 08055-8772
(609) 451-8088
(609) 451-8089
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(856) 677-4000
(856) 234-3014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02194100
NJ
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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