Individual
EWELINA TASZYNIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
265 FRANKLIN AVE, NUTLEY, NJ 07110-2712
(973) 661-1207
(973) 661-1843
Mailing address
265 FRANKLIN AVE, NUTLEY, NJ 07110-2712
(973) 661-1207
(973) 661-1843
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00257200
NJ
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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