Provider Demographics
NPI:1578691952
Name:KLEJMONT, LINDA H (PT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:H
Last Name:KLEJMONT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 AVE C
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3306
Mailing Address - Country:US
Mailing Address - Phone:201-339-4184
Mailing Address - Fax:201-339-5043
Practice Address - Street 1:1121 AVENUE C
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3306
Practice Address - Country:US
Practice Address - Phone:201-339-4184
Practice Address - Fax:201-339-5043
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00201000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist