MEDICARE: ALEX CERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1851755607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX CERA

Provider Business Mailing Address
First Line	:	1002 APRIL CT
Second Line	:
City	:	MULLICA HILL
State	:	NJ
Zip	:	08062-3233
Country	:	US
Telephone Number	:	609-970-9645
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 SOUTH ROUTE 73
Second Line	:
City	:	VOORHEES TOWNSHIP
State	:	NJ
Zip	:	08043
Country	:	US
Telephone Number	:	856-809-3500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2016
Last Update Date	:	04/07/2016

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Directions to “ ALEX CERA ” Practice Location

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