Doctor Name: | KRISTINA A SPADAVECCHIA |
NPI Number: | 1073724159 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 40QA01217100 |
Business Practice Address: | 3196 Kennedy Blvd 3rd Floor Union City, NJ - 070872436 |
Business Phone Number: | 2012234949 |
Business Fax Number: | 2012239722 |
Mailing Address: | 24 Nichols St, 1st Floor NEWARK |
State: | NJ |
Postal Code: | 071051610 |
Phone Number: | 9736108366 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 05/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01217100 |
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 |