Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 40QA01156600 | NJ |
NPI | 1326372517 |
---|---|
Provider Name | Mrs. Maria Antonia Stelmach |
First Address | Secaucus, NJ 07094-2977 |
Second Address | Secaucus, NJ 07094-2977 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2009 |
Last Update Date | 17/10/2011 |