Cassidy Caputo, | |
18 Gina Ct, East Hanover, NJ 07936-3582 | |
(201) 247-2995 | |
Not Available |
Full Name | Cassidy Caputo |
---|---|
Gender | Female |
Speciality | Physical Therapist - Geriatrics |
Location | 18 Gina Ct, East Hanover, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053106526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251G0304X | Physical Therapist - Geriatrics | 40QA02218000 (New Jersey) | Primary |
Provider Name | Metro Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144028796 PECOS PAC ID: 4981120672 Enrollment ID: O20250425000060 |
Mailing Address | Practice Location Address |
---|---|
Cassidy Caputo, 18 Gina Ct, East Hanover, NJ 07936-3582 Ph: () - | Cassidy Caputo, 18 Gina Ct, East Hanover, NJ 07936-3582 Ph: (201) 247-2995 |
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