Provider Demographics
NPI:1831413897
Name:POLAGYE, DONNA J (PT)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:J
Last Name:POLAGYE
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 1:968 TABOR RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2734
Mailing Address - Country:US
Mailing Address - Phone:973-829-0200
Mailing Address - Fax:973-829-0500
Practice Address - Street 1:968 TABOR RD
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2734
Practice Address - Country:US
Practice Address - Phone:973-829-0200
Practice Address - Fax:973-829-0500
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00181500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist