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1851956403
CHARISSE KATHERINE SIRACUSA
LAKE COMO, NJ
NPI
1851956403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01855600)
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
CHARISSE KATHERINE SIRACUSA PT,DPT
1719 MAIN ST
LAKE COMO, NJ 07719-3097
Phone number: 732-894-9200
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Mailing Address
CHARISSE KATHERINE SIRACUSA PT,DPT
1719 MAIN ST
LAKE COMO, NJ 07719-3097
Phone number: 732-894-9200
Copy
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