Provider Demographics
NPI:1649955188
Name:POZO, KARLLO (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KARLLO
Middle Name:
Last Name:POZO
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 PLAUDERVILLE AVE APT B
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-2299
Mailing Address - Country:US
Mailing Address - Phone:973-510-5510
Mailing Address - Fax:
Practice Address - Street 1:266 HARRISTOWN RD STE 200
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-3354
Practice Address - Country:US
Practice Address - Phone:201-903-7760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02180900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist