Individual
MRS. CAROLYN PERCOPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1037 ROUTE 70, MANCHESTER, NJ 08759-5806
(732) 408-1800
(732) 408-0704
Mailing address
1372 ROUTE 9, BUILDING # 2, TOMS RIVER, NJ 08755-4038
(732) 240-9296
(732) 240-9297
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
40QA01458400
NJ
2251S0007X
Sports Physical Therapist
40QA01458400
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01458400
NJ
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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