Organization
PEDIATRIC THERAPY RESOURCES, LLC
Active
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
Update your record
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