Provider Demographics
NPI:1043421100
Name:KALEJA, MARIANNE A (PT)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:A
Last Name:KALEJA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:NARCISE
Other - Last Name:ARLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:21 TOMAR CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-4014
Mailing Address - Country:US
Mailing Address - Phone:973-771-0901
Mailing Address - Fax:
Practice Address - Street 1:224 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2111
Practice Address - Country:US
Practice Address - Phone:973-956-3360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00886100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist