Provider Demographics
NPI:1780113068
Name:CZAJKOWSKA, EWA W (DPT)
Entity type:Individual
Prefix:
First Name:EWA
Middle Name:W
Last Name:CZAJKOWSKA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:EWA
Other - Middle Name:W
Other - Last Name:CZAJKOWSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1220 EASTCHESTER DR STE 107
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-3105
Mailing Address - Country:US
Mailing Address - Phone:336-307-4032
Mailing Address - Fax:
Practice Address - Street 1:1201 TANGLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-2238
Practice Address - Country:US
Practice Address - Phone:908-494-1051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13848225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist