Provider Demographics
NPI:1285852517
Name:MONTANA, CHRISTY DANIELLE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:DANIELLE
Last Name:MONTANA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:CHRISTY
Other - Middle Name:DANIELLE
Other - Last Name:MONTANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSPT
Mailing Address - Street 1:31 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2312
Mailing Address - Country:US
Mailing Address - Phone:973-699-3199
Mailing Address - Fax:
Practice Address - Street 1:115 US HIGHWAY 46 STE B11
Practice Address - Street 2:
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1656
Practice Address - Country:US
Practice Address - Phone:973-329-0099
Practice Address - Fax:973-329-0101
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00836600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist