Doctor Name: | MR. WALTER ANTHONY PELENSKI |
NPI Number: | 1588609945 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OT,PT,CHT |
License Number: | 46TR000283000 |
Business Practice Address: | 1200 Eagle Ave Ocean Township, NJ - 077121265 |
Business Phone Number: | 7326606620 |
Business Fax Number: | |
Mailing Address: | 4 Stockton Ave, MANASQUAN |
State: | NJ |
Postal Code: | 087363332 |
Phone Number: | 7325130795 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 46TR000283000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |