Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANA IVAYLOVA NIKOLAEVA, PTA
Active Sole ProprietorDIANA IVAYLOVA NIKOLAEVA, PTA is a Occupational Therapist healthcare provider located in EWING, New Jersey. NPI 1013787142 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · EWING, NJ
Registration Details
- NPI Number
- 1013787142
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2024 (2.5721963921398 yrs)
- Last Updated
- Jan 9, 2024
- License
-
40QB00412000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1230 PARKWAY AVE STE 205EWING, NJ, 086283018Browse NJ providers · Browse ZIP 08628
- Phone
- 6098837528
- Fax
- 6098835947
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in EWING, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. J SCOTT DOOLITTLE | — | 1376512749 |
| JESSICA LEE MENZEN | PTA | 1558685370 |
| JESSICA DONNA KORPUSINSKI | PTA | 1053719500 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.