Provider Demographics
NPI:1326374588
Name:CARLO, CHRISTINE Z (PT, MPT, SIPT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:Z
Last Name:CARLO
Suffix:
Gender:F
Credentials:PT, MPT, SIPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 BIRCHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2527
Mailing Address - Country:US
Mailing Address - Phone:908-276-3599
Mailing Address - Fax:908-276-2635
Practice Address - Street 1:235 BIRCHWOOD AVE
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2527
Practice Address - Country:US
Practice Address - Phone:908-276-3599
Practice Address - Fax:908-276-2635
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00581100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist