Healthcare Provider Details

I. General information

NPI: 1255172441
Provider Name (Legal Business Name): CAROLINE CONTE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 HURFFVILLE CROSSKEYS RD STE 3B
SEWELL NJ
08080-9360
US

IV. Provider business mailing address

1650 LYNDON FARM CT STE 300
LOUISVILLE KY
40223-5005
US

V. Phone/Fax

Practice location:
  • Phone: 856-265-0500
  • Fax: 856-658-1111
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02255600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: