| Nicole E Stodolak, DPT | |
|
445 Pleasant Valley Way, West Orange, NJ 07052-2919 | |
| (732) 855-9751 | |
| (732) 855-9755 |
| Full Name | Nicole E Stodolak |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 445 Pleasant Valley Way, West Orange, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689928236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01413400 (New Jersey) | Primary |
| Provider Name | Twin Boro Physical Therapy Associates, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811937527 PECOS PAC ID: 8527962950 Enrollment ID: O20031126000193 |
| Provider Name | Pro Staff Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265750871 PECOS PAC ID: 4385826064 Enrollment ID: O20110317000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole E Stodolak, DPT Po Box 1014, Clark, NJ 07066-1014 Ph: (732) 855-9751 | Nicole E Stodolak, DPT 445 Pleasant Valley Way, West Orange, NJ 07052-2919 Ph: (732) 855-9751 |
Elizabeth Caputo, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-243-6940 Fax: 973-243-6967 | |
David Currie King, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6842 | |
Dr. Sandra Wojciehowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Raphael Moreno, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 622 Eagle Rock Ave, West Orange, NJ 07052 Phone: 973-669-0078 | |
Jaceline D Dejean, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 445 Pleasant Valley Way, West Orange, NJ 07052 Phone: 862-520-4027 | |
Abigail Reid, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6967 | |
Ms. Leslie Prendergast, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Manger Rd, West Orange, NJ 07052 Phone: 973-736-7121 |