Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JEAN WIECZERZAK, PT, DPT
Active Sole ProprietorKELLY JEAN WIECZERZAK, PT, DPT is a Physical Therapy Assistant healthcare provider located in RUTHERFORD, New Jersey. NPI 1982367819 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · RUTHERFORD, NJ
Registration Details
- NPI Number
- 1982367819
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2021 (4.8249500108183 yrs)
- Last Updated
- Oct 18, 2021
- License
-
40QA02023500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 ROUTE 17 STE 105RUTHERFORD, NJ, 070702585Browse NJ providers · Browse ZIP 07070
- Phone
- 2014600032
- Fax
- 2014600092
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in RUTHERFORD, NJ
| Name | Credential | NPI |
|---|---|---|
| MS. KIM M JANECK | PT | 1689742355 |
| MARY-LOUISE JANNICELLI-CLARE | P.T. | 1275696411 |
| KIM A. DILORENZO | P.T. | 1225228398 |
| PAUL R. REICHERT | PT | 1881884393 |
| MR. JOHN BERNARD TALTY | P.T | 1568614196 |
| MISS MARIA E DIERCKS | PT | 1215263504 |
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.