Individual
DR. CARLO BLAQUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1715 ROUTE 88 # 2, BRICK, NJ 08724-3008
(732) 458-7976
(732) 458-6031
Mailing address
1111 ROUTE 166, TOMS RIVER, NJ 08753-4111
(732) 914-0747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02231100
NJ
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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