Individual
MS. ATHENA DIANNE NIEMCZAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
42 E LAUREL RD, NOVA CARE - UNIVERSITY DOCTORS PAVILION, STE1600, STRATFORD, NJ 08084
(856) 566-1311
(856) 566-1331
Mailing address
1764 HILLSIDE DR, CHERRY HILL, NJ 08003-3708
(856) 383-8956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01186700
NJ
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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