Doctor Name: | CHARLES DAVID SACCO |
NPI Number: | 1033150164 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 40QA00817900 |
Business Practice Address: | 289 S White Horse Pike Suite 101 Berlin, NJ - 080091973 |
Business Phone Number: | 8568099001 |
Business Fax Number: | 8568099003 |
Mailing Address: | 289 S White Horse Pike, Suite 101 BERLIN |
State: | NJ |
Postal Code: | 080091973 |
Phone Number: | 8568099001 |
Fax Number: | 8568099003 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00817900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |