Healthcare Provider Details

I. General information

NPI: 1720901655
Provider Name (Legal Business Name): REBECCA PIOTROWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 MILL POND LN APT 137
SALISBURY MD
21804-2125
US

IV. Provider business mailing address

304 MILL POND LN APT 137
SALISBURY MD
21804-2125
US

V. Phone/Fax

Practice location:
  • Phone: 609-402-2692
  • Fax:
Mailing address:
  • Phone: 609-402-2692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41YS01280300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: