Kallista Russo
Kallista Russo is a Physical Therapist in Manalapan, New Jersey. Licensed in New Jersey. Registered with an NPI since 2024.
- Licensed in
- NJ
- In the registry since
- 2024
Practice location Address checks out
300 Gordons Corner Rd Ste 2Manalapan, NJ 07726-3150
Phone: (732) 851-7642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 40QA02283600 (NJ) |
|---|
Record details
| NPI number | 1548094964 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 28, 2024 |
| Last updated in NPPES | August 28, 2024 |
| Certification date | August 28, 2024 |
| Mailing address | 38 Bayview Dr, Brick, NJ 08723-7461 |
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