Doctor Name: | MS. TRACEY J PODOLSKY |
NPI Number: | 1417908476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT, CLT-LANA, CLM |
License Number: | 40QA00948400 |
Business Practice Address: | 240 Wall St Suite 100 West Long Branch, NJ - 077641181 |
Business Phone Number: | 7322228556 |
Business Fax Number: | 7322228663 |
Mailing Address: | 116 Crow Hill Rd, JACKSON |
State: | NJ |
Postal Code: | 085274256 |
Phone Number: | 7325349333 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 10/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00948400 |
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 |