Provider Demographics
NPI:1063071298
Name:TOLIA, ZALAK (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ZALAK
Middle Name:
Last Name:TOLIA
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 FORNELIUS AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-1846
Mailing Address - Country:US
Mailing Address - Phone:862-571-6263
Mailing Address - Fax:
Practice Address - Street 1:190 BALDWIN RD STE B
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2006
Practice Address - Country:US
Practice Address - Phone:973-882-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-11
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053638225100000X
NJ40QA01831200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist