Provider Demographics
NPI:1669085775
Name:CRISTOFARO, MONICA (OTR)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CRISTOFARO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-1349
Mailing Address - Country:US
Mailing Address - Phone:908-721-2938
Mailing Address - Fax:
Practice Address - Street 1:722 WALNUT ST
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-1349
Practice Address - Country:US
Practice Address - Phone:908-721-2938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist