Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 029856-1 | NY |
NPI | 1063664878 |
---|---|
Provider Name | Dr. Rachel Kalish |
First Address | Lakewood, NJ 08701-1157 |
Second Address | Lakewood, NJ 08701-1157 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2008 |
Last Update Date | 10/06/2020 |