Individual provider · NPI-1

Charles J Caruso, PTA

Physical Therapy Assistant · Warwick, RI

NPI number1073639639
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1073639639
Entity type
Individual (NPI-1)
Name
Charles J Caruso
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Mar 22, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant00633RIYes
225200000X Physical Therapy Assistant2517MA

Practice location

660 Commonwealth Ave
Warwick, RI 02886-2707

Phone 401-691-4511

Mailing address

159 Old County Rd
Smithfield, RI 02917-2909

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapy Assistant providers in Warwick, RI