KRISTEN DACOSTA
Individual Provider (NPI-1)
Active
Physical Therapist, Pediatrics
Provider Information
- NPI Number
1396313896- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 54 N PARK AVE, SHREWSBURY, NJ, 077024413
- Phone
- (917) 406-0478
Specialties & Taxonomies
Physical Therapist, Pediatrics
Primary License: NJ #PT40QA00773200