Individual
ANNA MOSKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-0186
Mailing address
18 FOURNIER CRES, ELMWOOD PARK, NJ 07407-2521
(201) 410-1034
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
40QA01136500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01136500
PT LICENSE NUMBER
NJ
Enumeration date
04/23/2007
Last updated
07/08/2007
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