Individual
CARLA S MOLDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
503 PINEBROOK ROAD, LINCOLN PARK, NJ 07305
(973) 317-7500
Mailing address
8 DONALD ST APT A, BLOOMFIELD, NJ 07003-6114
(862) 220-0217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01055800
NJ
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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