Healthcare Provider Details

I. General information

NPI: 1669650727
Provider Name (Legal Business Name): ALLIANCE HAND AND PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 07/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N DEAN ST
ENGLEWOOD NJ
07631-2532
US

IV. Provider business mailing address

155 N DEAN ST
ENGLEWOOD NJ
07631-2532
US

V. Phone/Fax

Practice location:
  • Phone: 201-894-5775
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number46TR00126700
License Number StateNJ

VIII. Authorized Official

Name: PAMELA MUSCARA
Title or Position: PRESIDENT
Credential:
Phone: 201-822-0100