Healthcare Provider Details

I. General information

NPI: 1053837864
Provider Name (Legal Business Name): ALINA KING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALINA CRUMB

II. Dates (important events)

Enumeration Date: 08/15/2017
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 EGG HARBOR RD STE 305
SEWELL NJ
08080-9406
US

IV. Provider business mailing address

224 STRAWBRIDGE DR STE 100
MOORESTOWN NJ
08057-4602
US

V. Phone/Fax

Practice location:
  • Phone: 856-481-3513
  • Fax: 856-228-2105
Mailing address:
  • Phone: 856-677-4000
  • Fax: 856-234-3014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01747800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: