| Doctor Name: | KRISTEN MARIE THERESA |
| NPI Number: | 1407012974 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | QA012828 |
| Business Practice Address: | 1 Bethany Rd Building 2, Suite 27 Hazlet, NJ - 077301663 |
| Business Phone Number: | 9083707165 |
| Business Fax Number: | 7327395547 |
| Mailing Address: | 1 Bethany Rd, Building 2, Suite 27 HAZLET |
| State: | NJ |
| Postal Code: | 077301663 |
| Phone Number: | 9083707165 |
| Fax Number: | 7327395547 |
| NPI Enumeration Date: | 08/04/2008 |
| NPI Last Update Date: | 04/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | QA012828 |
| 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 |