Doctor Name: | KRISTEN DORNACKER |
NPI Number: | 1649619743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 40QA01449700 |
Business Practice Address: | 1610 New Jersey Route 88 Brick, NJ - 08724 |
Business Phone Number: | 7327855500 |
Business Fax Number: | |
Mailing Address: | 704 Barberry Dr, CINNAMINSON |
State: | NJ |
Postal Code: | 080774449 |
Phone Number: | 6093131703 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2013 |
NPI Last Update Date: | 06/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01449700 |
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 |