Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 46TR00049300 | NJ |
NPI | 1013157296 |
---|---|
Provider Name | Mrs. Karen Zielinski Kowalski |
First Address | Somerville, NJ 08876-1415 |
Second Address | Somerville, NJ 08876-1415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2009 |
Last Update Date | 27/02/2009 |