Doctor Name: | STACY L POTKULSKI |
NPI Number: | 1346590379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MPT |
License Number: | 40QA01287700 |
Business Practice Address: | 38 Hillsdale Rd East Brunswick, NJ - 088164319 |
Business Phone Number: | 7323226858 |
Business Fax Number: | |
Mailing Address: | 38 Hillsdale Rd, EAST BRUNSWICK |
State: | NJ |
Postal Code: | 088164319 |
Phone Number: | 7323226858 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2012 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01287700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |