Provider Demographics
NPI:1881228153
Name:JOSEFOWICZ, HAYLEY NICOLE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:NICOLE
Last Name:JOSEFOWICZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:
Other - Last Name:ZELINKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:FRACKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17931-1643
Mailing Address - Country:US
Mailing Address - Phone:570-366-4606
Mailing Address - Fax:
Practice Address - Street 1:50 E LOCUST ST
Practice Address - Street 2:
Practice Address - City:NESQUEHONING
Practice Address - State:PA
Practice Address - Zip Code:18240-1310
Practice Address - Country:US
Practice Address - Phone:570-640-3321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-26
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA028362225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist