KALLISTA RUSSO

MANALAPAN, NJ
NPI1548094964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA02283600)
Enumeration Date2024-08-28
Last Update Date2024-08-28
Business Address
KALLISTA RUSSO
300 GORDONS CORNER RD STE 2
MANALAPAN, NJ 07726-3150
Phone number: 732-851-7642
Mailing Address
KALLISTA RUSSO
38 BAYVIEW DR
BRICK, NJ 08723-7461
Phone number: