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1396313896
KRISTEN DACOSTA
SHREWSBURY, NJ
NPI
1396313896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: NJ PT40QA00773200)
Enumeration Date
2021-06-12
Last Update Date
2021-06-12
Business Address
KRISTEN DACOSTA
54 N PARK AVE
SHREWSBURY, NJ 07702-4413
Phone number: 917-406-0478
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Mailing Address
KRISTEN DACOSTA
152 KINGS HWY
MIDDLETOWN, NJ 07748-2023
Phone number: 173-269-3129
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