Provider Demographics
NPI:1457114340
Name:MIND BODY PELVIS LLC
Entity Type:Organization
Organization Name:MIND BODY PELVIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PELVIC FLOOR PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, PRPC, PCES
Authorized Official - Phone:609-712-3577
Mailing Address - Street 1:15 HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3436
Mailing Address - Country:US
Mailing Address - Phone:609-712-3577
Mailing Address - Fax:
Practice Address - Street 1:714 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1529
Practice Address - Country:US
Practice Address - Phone:609-712-3577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty