Provider Demographics
NPI:1902426646
Name:STREZOSKA, MARIJA
Entity Type:Individual
Prefix:
First Name:MARIJA
Middle Name:
Last Name:STREZOSKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 PHILIP AVE
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-2226
Mailing Address - Country:US
Mailing Address - Phone:862-377-3914
Mailing Address - Fax:
Practice Address - Street 1:155 PHILIP AVE
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-2226
Practice Address - Country:US
Practice Address - Phone:862-377-3914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant