Provider Demographics
NPI:1578789871
Name:KRENCICKI, DENNISE (PT)
Entity Type:Individual
Prefix:DR
First Name:DENNISE
Middle Name:
Last Name:KRENCICKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 DUTCHTOWN ZION RD
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-5112
Mailing Address - Country:US
Mailing Address - Phone:908-359-4039
Mailing Address - Fax:856-566-6458
Practice Address - Street 1:40 E LAUREL RD
Practice Address - Street 2:UEC 2105
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1350
Practice Address - Country:US
Practice Address - Phone:856-566-6453
Practice Address - Fax:856-566-6458
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00106300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist