Provider Demographics
NPI:1255810776
Name:KALUSKI, ARIELLE (DPT)
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:KALUSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 US HIGHWAY 22 STE 5
Mailing Address - Street 2:
Mailing Address - City:GREEN BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1920
Mailing Address - Country:US
Mailing Address - Phone:732-474-0033
Mailing Address - Fax:732-474-0041
Practice Address - Street 1:215 US HIGHWAY 22 STE 5
Practice Address - Street 2:
Practice Address - City:GREEN BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08812-1920
Practice Address - Country:US
Practice Address - Phone:732-474-0033
Practice Address - Fax:732-474-0041
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27113225100000X
NJ40QA02043100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist