Provider Demographics
NPI:1144066085
Name:WALZMAN, YAFFA L
Entity type:Individual
Prefix:MRS
First Name:YAFFA
Middle Name:L
Last Name:WALZMAN
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 1:264 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205-2929
Mailing Address - Country:US
Mailing Address - Phone:908-358-3445
Mailing Address - Fax:
Practice Address - Street 1:1135 E VETERANS HWY
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-5090
Practice Address - Country:US
Practice Address - Phone:732-813-4263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00340900225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics