Provider Demographics
NPI:1457754285
Name:CZEJKOWSKI, AUDREY (PT)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:CZEJKOWSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:AUDREY
Other - Middle Name:CELESTE
Other - Last Name:OSINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:805 SHADYLAWN RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2004
Mailing Address - Country:US
Mailing Address - Phone:248-840-3898
Mailing Address - Fax:
Practice Address - Street 1:430 WATERSTONE DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-9078
Practice Address - Country:US
Practice Address - Phone:984-974-0345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP15043225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist