Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 40QA01961600 | NJ |
NPI | 1053926386 |
---|---|
Provider Name | Ms. Natalia Ochalski |
First Address | Roselle, NJ 07203-3034 |
Second Address | Cranford, NJ 07016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2020 |
Last Update Date | 14/09/2020 |