| Doctor Name: | KATHLEEN CONNOLLY NIESZ |
| NPI Number: | 1417141821 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | QA00179100 |
| Business Practice Address: | 234 Chestnut St Cornell Hall Conveliscent Center Union, NJ - 07083 |
| Business Phone Number: | 9086242328 |
| Business Fax Number: | 9086871417 |
| Mailing Address: | 1020 Galloping Hill Rd, St Barnabas Rehabilitation Affiliates UNION |
| State: | NJ |
| Postal Code: | 07083 |
| Phone Number: | 9088518816 |
| Fax Number: | 9088512327 |
| NPI Enumeration Date: | 08/29/2007 |
| NPI Last Update Date: | 08/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | QA00179100 |
| 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 |