Provider Demographics
NPI:1699919357
Name:SETKOSKI, CHRISTINA ANN (DPT)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ANN
Last Name:SETKOSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:ANN
Other - Last Name:PASCARELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:636 CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-4408
Mailing Address - Country:US
Mailing Address - Phone:203-934-6690
Mailing Address - Fax:203-934-6659
Practice Address - Street 1:636 CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-4408
Practice Address - Country:US
Practice Address - Phone:203-934-6690
Practice Address - Fax:203-934-6659
Is Sole Proprietor?:No
Enumeration Date:2009-04-26
Last Update Date:2009-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008340225100000X
NY026505225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist