Provider Demographics
NPI:1679243604
Name:ADAMSKI, MONIKA NOELLE (LPT, DPT)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:NOELLE
Last Name:ADAMSKI
Suffix:
Gender:F
Credentials:LPT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 NORTON AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:PA
Mailing Address - Zip Code:18612-1646
Mailing Address - Country:US
Mailing Address - Phone:570-510-1066
Mailing Address - Fax:
Practice Address - Street 1:5 JACQUELYN LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:PA
Practice Address - Zip Code:18612-9107
Practice Address - Country:US
Practice Address - Phone:570-255-4578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013500L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE