Provider Demographics
NPI:1093864290
Name:KALWINSKY, CHRISTOPHER KNOWLTON (MPT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:KNOWLTON
Last Name:KALWINSKY
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 S GILBERT ST
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4917
Mailing Address - Country:US
Mailing Address - Phone:732-936-0444
Mailing Address - Fax:732-936-0390
Practice Address - Street 1:35 S GILBERT ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07701-4917
Practice Address - Country:US
Practice Address - Phone:732-936-0444
Practice Address - Fax:732-936-0390
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00995300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ094922UNEMedicare UPIN
NJ094914Medicare PIN