Individual
MS. CARLA ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
171 RIDGEDALE AVE, SUITE A, FLORHAM PARK, NJ 07932-1764
(973) 377-6327
(973) 408-9055
Mailing address
171 RIDGEDALE AVE, SUITE A, FLORHAM PARK, NJ 07932-1764
(973) 377-6327
(973) 408-9055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01133300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2700276000
PIN AMERIHEALTH
NJ
01
—
2701321
PIN GHI
NJ
01
—
J31494
PIN HEALTHNET
NJ
01
—
NON-PAR
ANTHEM
NJ
Enumeration date
08/05/2006
Last updated
07/09/2007
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