Individual
KRISTINA STAIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 BROOKLAWN DR, POMPTON PLAINS, NJ 07444-1221
(973) 897-9629
Mailing address
2 BROOKLAWN DR, POMPTON PLAINS, NJ 07444-1221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0005355
CO
225X00000X
Occupational Therapist
46TR00605200
NJ
Other
Enumeration date
04/03/2018
Last updated
05/11/2018
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