Provider Demographics
NPI:1508384272
Name:ADAMKIEWICZ, KAROLINA (DPT)
Entity Type:Individual
Prefix:DR
First Name:KAROLINA
Middle Name:
Last Name:ADAMKIEWICZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:KAROLINA
Other - Middle Name:
Other - Last Name:SZCZECH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:91 JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:WALLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07057-2205
Mailing Address - Country:US
Mailing Address - Phone:551-486-9081
Mailing Address - Fax:
Practice Address - Street 1:518 STUYVESANT AVE
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-2620
Practice Address - Country:US
Practice Address - Phone:201-636-2338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-01
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01741800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist