Provider Demographics
NPI:1447227442
Name:PACHOLSKI, MARSHA JANE (RPT)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:JANE
Last Name:PACHOLSKI
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 BERNARDINO AVE
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-1842
Mailing Address - Country:US
Mailing Address - Phone:860-745-8016
Mailing Address - Fax:
Practice Address - Street 1:180 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-2638
Practice Address - Country:US
Practice Address - Phone:413-594-3478
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1811225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist