Individual provider · Type 1 NPI

Kristen Dacosta

Pediatric Physical Therapist · Shrewsbury, NJ

NPI number 1396313896 Active

Practice location

54 N Park Ave
Shrewsbury, NJ 07702-4413

Call (917) 406-0478 Map

Mailing address

152 Kings Hwy
Middletown, NJ 07748-2023

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT40QA00773200 (NJ)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1396313896

Kristen Dacosta's National Provider Identifier is 1396313896, issued on Jun 12, 2021. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Shrewsbury, NJ. The record was last updated on Jun 12, 2021.