Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 40QA01235000 | NJ |
NPI | 1003008988 |
---|---|
Provider Name | Allyson B Alexander |
First Address | Budd Lake, NJ 07828 |
Second Address | Sparta, NJ 07871-1941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2007 |
Last Update Date | 11/07/2008 |