Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | ||
Y | 2251N0400X | Physical Therapist - Neurology | 40QA01679400 | NJ |
NPI | 1669977286 |
---|---|
Provider Name | Dr. Kayla Noel Critser |
First Address | West Orange, NJ 07052-1424 |
Second Address | Saddle Brook, NJ 07663-5318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2018 |
Last Update Date | 26/03/2018 |