Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 40QA01283200 | NJ |
NPI | 1003144585 |
---|---|
Provider Name | Dr. Tracy L Sentowski |
First Address | Pompton Plains, NJ 07444-1029 |
Second Address | Pompton Plains, NJ 07444-1029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2009 |
Last Update Date | 20/04/2020 |