Provider Demographics
NPI:1497953962
Name:STINTON, COLLEEN MAURA (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:MAURA
Last Name:STINTON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 HILLCREST AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1366
Mailing Address - Country:US
Mailing Address - Phone:908-232-5628
Mailing Address - Fax:
Practice Address - Street 1:1481 MAIN AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2127
Practice Address - Country:US
Practice Address - Phone:973-772-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00841300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist