Provider Demographics
NPI:1285248708
Name:TOPOR, MARTA ANNA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MARTA
Middle Name:ANNA
Last Name:TOPOR
Suffix:
Gender:F
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 1:230 LARCH AVE
Mailing Address - Street 2:
Mailing Address - City:BOGOTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07603-1274
Mailing Address - Country:US
Mailing Address - Phone:718-581-9605
Mailing Address - Fax:
Practice Address - Street 1:271 GROVE AVE STE C
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-1729
Practice Address - Country:US
Practice Address - Phone:201-340-4846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01955300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist