Provider Demographics
NPI:1447497359
Name:JULIANO, CHRISTINA (PT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:
Last Name:JULIANO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3209 READING AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-8006
Mailing Address - Country:US
Mailing Address - Phone:609-289-6923
Mailing Address - Fax:
Practice Address - Street 1:3209 READING AVE
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-8006
Practice Address - Country:US
Practice Address - Phone:609-289-6923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0003096225100000X
NJ40QA01300900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEP01391553OtherRR MEDICARE
DE370556Y0XMedicare PIN