Provider Demographics
NPI:1568713808
Name:DAYRO, KARROLYN CACAO (RPT)
Entity Type:Individual
Prefix:
First Name:KARROLYN
Middle Name:CACAO
Last Name:DAYRO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:MS
Other - First Name:KARROLYN
Other - Middle Name:FILOMIA
Other - Last Name:CACAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1894 RUTHERFORD ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-5305
Mailing Address - Country:US
Mailing Address - Phone:732-499-6970
Mailing Address - Fax:
Practice Address - Street 1:132 EVERGREEN RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-2484
Practice Address - Country:US
Practice Address - Phone:732-548-7217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01441100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist