Provider Demographics
NPI:1730350117
Name:PAJAK, DOROTA (MPT)
Entity type:Individual
Prefix:MRS
First Name:DOROTA
Middle Name:
Last Name:PAJAK
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WINSTON LN
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-5210
Mailing Address - Country:US
Mailing Address - Phone:508-916-8543
Mailing Address - Fax:
Practice Address - Street 1:9 WINSTON LN
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-5210
Practice Address - Country:US
Practice Address - Phone:508-916-8543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13133225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist