Provider Demographics
NPI:1114284239
Name:MC AULEY, EILEEN KRINGLE (PT)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:KRINGLE
Last Name:MC AULEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:EILEEN
Other - Middle Name:MARY
Other - Last Name:KRINGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:522 BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452
Mailing Address - Country:US
Mailing Address - Phone:201-444-9110
Mailing Address - Fax:201-444-3365
Practice Address - Street 1:522 BROAD STREET
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452
Practice Address - Country:US
Practice Address - Phone:201-444-9110
Practice Address - Fax:201-444-3365
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ#40QA00327500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist