Healthcare Provider Details

I. General information

NPI: 1720140999
Provider Name (Legal Business Name): BEATA LIGAS P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BEATA HECZKOVA

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 03/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CHESTNUT RIDGE RD
MONTVALE NJ
07645-1802
US

IV. Provider business mailing address

13 ROMONDT RD
POMPTON PLAINS NJ
07444-1840
US

V. Phone/Fax

Practice location:
  • Phone: 201-391-8282
  • Fax:
Mailing address:
  • Phone: 973-513-9305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01146000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number62024189
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: