Provider Demographics
NPI:1508976283
Name:ESCHE, ROXANA GEORGIANA (PT, XMPA, PPDPT)
Entity Type:Individual
Prefix:
First Name:ROXANA
Middle Name:GEORGIANA
Last Name:ESCHE
Suffix:
Gender:F
Credentials:PT, XMPA, PPDPT
Other - Prefix:
Other - First Name:ROXANA
Other - Middle Name:GEORGIANA
Other - Last Name:DRAGOMIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:508 1ST ST
Mailing Address - Street 2:APT. 5W
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-7821
Mailing Address - Country:US
Mailing Address - Phone:201-683-5791
Mailing Address - Fax:
Practice Address - Street 1:508 1ST ST
Practice Address - Street 2:5W
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-7821
Practice Address - Country:US
Practice Address - Phone:917-392-8994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ40QA01198600OtherLICENSE #
NY022467-1OtherPT LICENSE 022467-1