Provider Demographics
NPI:1649772419
Name:MONTELEONE, STEFFANIE A (DPT)
Entity Type:Individual
Prefix:
First Name:STEFFANIE
Middle Name:A
Last Name:MONTELEONE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 MCCHESNEY CT
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1135
Mailing Address - Country:US
Mailing Address - Phone:973-699-3950
Mailing Address - Fax:
Practice Address - Street 1:26 MCCHESNEY CT
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1135
Practice Address - Country:US
Practice Address - Phone:732-516-8547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01691900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty