Provider Demographics
NPI:1497067524
Name:MONK, KRISTIN MARIA (DPT)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:MARIA
Last Name:MONK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 CENTERVILLE RD BLDG A
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4353
Mailing Address - Country:US
Mailing Address - Phone:401-384-6490
Mailing Address - Fax:
Practice Address - Street 1:250 CENTERVILLE RD BLDG A
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4353
Practice Address - Country:US
Practice Address - Phone:401-384-6490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02334225100000X
RIPT00309-G225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist