| Doctor Name: | MR. CRAIG MICHAEL WHITEHEAD |
| NPI Number: | 1972794428 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 40QA01249800 |
| Business Practice Address: | 1945 Route 33 Neptune, NJ - 077534859 |
| Business Phone Number: | 7327755500 |
| Business Fax Number: | |
| Mailing Address: | 1606 Main St, Unit F-302 LAKE COMO |
| State: | NJ |
| Postal Code: | 077193085 |
| Phone Number: | 7325566609 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2007 |
| NPI Last Update Date: | 10/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01249800 |
| 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 |