Provider Demographics
NPI:1831727213
Name:CIESLA, BOZENA
Entity type:Individual
Prefix:
First Name:BOZENA
Middle Name:
Last Name:CIESLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BOZENA
Other - Middle Name:EWA
Other - Last Name:LEBEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2900 SALERNO WAY
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-7148
Mailing Address - Country:US
Mailing Address - Phone:561-501-1983
Mailing Address - Fax:561-270-6965
Practice Address - Street 1:950 PENINSULA CORPORATE CIR STE 3004
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1387
Practice Address - Country:US
Practice Address - Phone:561-501-1983
Practice Address - Fax:561-270-6965
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11280225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist