Individual
MRS. EWA BOGACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12-15 SADDLE RIVER, MAPLE GLEN CENTER, FAIR LAWN, NJ 07410
(201) 797-9522
Mailing address
93 BATHURST AVE, NORTH ARLINGTON, NJ 07031-6106
(201) 955-2093
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
003925-1
NY
314000000X
Skilled Nursing Facility
Primary
46TR00570800
NJ
Other
Enumeration date
05/16/2007
Last updated
03/29/2012
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