Healthcare Provider Details
I. General information
NPI: 1003869033
Provider Name (Legal Business Name): ALLIANCE HAND AND PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2006
Last Update Date: 05/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24 BOOKER ST
WESTWOOD NJ
07675-2619
US
IV. Provider business mailing address
24 BOOKER ST
WESTWOOD NJ
07675-2619
US
V. Phone/Fax
- Phone: 201-822-0100
- Fax:
- Phone: 201-822-0100
- Fax: 201-822-0107
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
PAMELA
MUSCARA
Title or Position: PRESIDENT
Credential: PT
Phone: 201-822-0100