Provider Demographics
NPI:1912400201
Name:KRISTEN CLARK INC. DBA HARMONY PEDIATRIC THERAPY
Entity Type:Organization
Organization Name:KRISTEN CLARK INC. DBA HARMONY PEDIATRIC THERAPY
Other - Org Name:HARMONY PEDIATRIC THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:CALTAGIRONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-507-9730
Mailing Address - Street 1:5 TOWNSQUARE STE A
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2568
Mailing Address - Country:US
Mailing Address - Phone:973-507-9730
Mailing Address - Fax:973-507-9710
Practice Address - Street 1:5 TOWNSQUARE STE A
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2568
Practice Address - Country:US
Practice Address - Phone:973-507-9730
Practice Address - Fax:973-507-9710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty