Provider Demographics
NPI:1902830698
Name:CALTON, CHRISTINE ZIC (DPT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ZIC
Last Name:CALTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 DEMERCURIO DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ALLENDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07401-1717
Mailing Address - Country:US
Mailing Address - Phone:201-818-2700
Mailing Address - Fax:201-818-3023
Practice Address - Street 1:1 DEMERCURIO DR
Practice Address - Street 2:SUITE 5
Practice Address - City:ALLENDALE
Practice Address - State:NJ
Practice Address - Zip Code:07401-1717
Practice Address - Country:US
Practice Address - Phone:201-818-2700
Practice Address - Fax:201-818-3023
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQAO8973225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist