# PRO STAFF DYNAMIC HAND THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pro Staff Rehab & Wellness, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871916130
- **Authorized official:** MISS JACLYN ANN KOPIDLOWSKI MS, OTR/L, CHT (OWNER)
- **Authorized official phone:** (973) 766-3523

## Contact information

- **Practice address:** 49 CLAREMONT AVE, SUITE 5, MONTCLAIR, NJ 07042-4854
- **Practice address phone:** (973) 680-8390
- **Practice address fax:** (973) 680-8391
- **Mailing address:** 265 FRANKLIN AVE, NUTLEY, NJ 07110-2712
- **Mailing address phone:** (973) 680-8390
- **Mailing address fax:** (973) 680-8391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XH1200X | Hand Occupational Therapist | 46TR00508400 | NJ | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0404X | Cardiac Rehabilitation Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 01/22/2014
- **Last updated:** 05/29/2015