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NPI Code Detail

MEDICARE: CARLY CARALUZZI OTR/L

MEDICARE: CARLY CARALUZZI OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC012587PA
2225X00000XOccupational TherapistOT21375FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255763355
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY CARALUZZI OTR/L
Provider Business Mailing Address
First Line : 3602 W SAN JUAN ST
Second Line :
City : TAMPA
State : FL
Zip : 33629-6922
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3602 W SAN JUAN ST
Second Line :
City : TAMPA
State : FL
Zip : 33629-6922
Country : US
Telephone Number : 973-477-4919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2013
Last Update Date : 11/30/2020

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Directions to “ CARLY CARALUZZI OTR/L” Practice Location

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