Individual
JENNIFER CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
107 S HAMPTON PL, BRICK, NJ 08724-3862
(732) 672-9554
(732) 295-1749
Mailing address
107 S HAMPTON PL, BRICK, NJ 08724-3862
(732) 672-9554
(732) 295-1749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01400900
NJ
Other
Enumeration date
08/10/2011
Last updated
05/13/2016
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