Individual
CAROLE LORRAINE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2087 SHORE ROAD, SUITE 24, SEAVILLE, NJ 08230
(609) 536-4995
(609) 624-2032
Mailing address
4175 VETERANS MEMORIAL HWY, SUITE 202, RONKONKOMA, NY 11779
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00709000
NJ
Other
Enumeration date
10/15/2009
Last updated
04/12/2019
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