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General NPI Number Information
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NPI Number | 1720962137
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Entity Type | Organization
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Legal Business Name | OMPT PELVIC HEALTH & WELLNESS
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 901 ROUTE 23 STE 205
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444-1025
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Country | US
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Telephone | 973-706-1130
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Fax | 973-513-9056
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Provider Business Mailing Address
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Address Line | 4 MOUNTAIN AVE
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City | WANAQUE
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State | NJ
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Zip | 07465-1315
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLGA KOZA
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Credential |
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Telephone | 973-706-1130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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