Individual
AGNES ROSZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
104 PENSION RD, MANALAPAN, NJ 07726-8400
(732) 446-3600
Mailing address
43 W 42ND ST, BAYONNE, NJ 07002-3061
(201) 377-5531
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09168400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TA09168400
STATE OF NEW JERSEY
NJ
Enumeration date
02/20/2019
Last updated
02/20/2019
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