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Organization

CARUSO PHYSICAL THERAPY AND NUTRITION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLIVIA ANN CARUSO MA, RDN (CEO/ OWNER)
(609) 738-3143
Entity
Organization

Contact information

Practice address
1278 YARDVILLE ALLENTOWN RD, ALLENTOWN, NJ 08501-1866
(609) 584-9594
(609) 584-9594
Mailing address
1278 YARDVILLE ALLENTOWN RD, ALLENTOWN, NJ 08501-1866
(609) 584-9594
(609) 584-9594

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
261QP2000X
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
096178UDE
MEDICARE ID- TYPE UNSPECIFIED
NJ
Enumeration date
11/19/2011
Last updated
08/31/2021
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