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Organization

PEDIATRIC THERAPY RESOURCES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARL A. GARGIULO PT, DPT, MA, OCS (OWNER)
(201) 792-3840
Entity
Organization

Contact information

Practice address
1 NARDONE PL, JERSEY CITY, NJ 07306-3514
(201) 792-3840
(201) 792-7948
Mailing address
1 NARDONE PL, JERSEY CITY, NJ 07306-3514
(201) 792-3840
(201) 792-7948

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00175100
NJ
261QX0100X
Occupational Medicine Clinic/Center
46TR00053700
NJ

Other

Enumeration date
10/05/2007
Last updated
04/20/2008
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