Provider Demographics
NPI:1235140245
Name:CRONIN, KRISTEN N (MPT)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:N
Last Name:CRONIN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WARREN RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2506
Mailing Address - Country:US
Mailing Address - Phone:410-683-9900
Mailing Address - Fax:410-683-3355
Practice Address - Street 1:10 WARREN RD
Practice Address - Street 2:SUITE 220
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-2506
Practice Address - Country:US
Practice Address - Phone:410-683-9900
Practice Address - Fax:410-683-3355
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19030225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist