NPI Code Details Logo

NPI 1235762352

NPI 1235762352 : HEATHER PEARSON CARUOLO DPT : DENVER, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1235762352
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HEATHER PEARSON CARUOLO DPT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/17/2020
-----------------------------------------------------
    Last Update Date     |    11/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    275 NC-16 BUSINESS #203
-----------------------------------------------------
    City                 |    DENVER
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28037
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    980-212-7050
-----------------------------------------------------
    Fax                  |    980-212-7051
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7391 ADIRONDACK DR 
-----------------------------------------------------
    City                 |    DENVER
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28037-0199
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    910-260-1041
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    P19393
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.