| Doctor Name: | KRISTINA COLLYMORE |
| NPI Number: | 1881022424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 40QA01504700 |
| Business Practice Address: | 769 Northfield Ave Suite 132 West Orange, NJ - 07052 |
| Business Phone Number: | 9736693500 |
| Business Fax Number: | 9736693444 |
| Mailing Address: | 11 Eagle Rock Ave, EAST HANOVER |
| State: | NJ |
| Postal Code: | 07396 |
| Phone Number: | 9738879000 |
| Fax Number: | 9738873816 |
| NPI Enumeration Date: | 10/17/2013 |
| NPI Last Update Date: | 10/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01504700 |
| 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 |