Provider Demographics
NPI:1851120620
Name:SHUSTYK, CORINNE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:
Last Name:SHUSTYK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 SUSSEX RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-1061
Mailing Address - Country:US
Mailing Address - Phone:201-841-8032
Mailing Address - Fax:
Practice Address - Street 1:400 FRANKLIN TPKE STE 200
Practice Address - Street 2:
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430-3518
Practice Address - Country:US
Practice Address - Phone:201-825-2027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist