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NPI Code Detail

MEDICARE: LISA A CARUSO O.T.

MEDICARE: LISA A CARUSO O.T.
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 Therapist46TR00218000NJ

General Provider Information

NPI Number : 1922268010
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA A CARUSO O.T.
Provider Business Mailing Address
First Line : 1900 ARENA DR
Second Line :
City : HAMILTON
State : NJ
Zip : 08610-2409
Country : US
Telephone Number : 609-585-2333
Fax Number : 609-585-6522
Provider Business Practice Location Address
First Line : 1900 ARENA DR
Second Line :
City : HAMILTON
State : NJ
Zip : 08610-2409
Country : US
Telephone Number : 609-585-2333
Fax Number : 609-585-6522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2008
Last Update Date : 06/11/2008

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Directions to “ LISA A CARUSO O.T.” Practice Location

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