Provider Demographics
NPI:1215215868
Name:WOLOSZ, KARIN L (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:L
Last Name:WOLOSZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:L
Other - Last Name:CREIGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:3219 ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1278
Mailing Address - Country:US
Mailing Address - Phone:973-299-2199
Mailing Address - Fax:973-299-2188
Practice Address - Street 1:11 EAGLE ROCK AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-3167
Practice Address - Country:US
Practice Address - Phone:973-887-9000
Practice Address - Fax:973-887-3816
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01405000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist