Organization Name: | ALPHA THERAPY SERVICES PA |
NPI Number: | 1013186139 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELO ANASTASSIOS STEFANIDES (PRESIDENT) |
Mailing Address: | 22 Jackson Ave Pompton Plains |
State: | NJ US |
Postal Code: | 074441447 |
Phone Number: | 9735139055 |
Fax Number: | 9735139056 |
NPI Enumeration Date: | 02/22/2008 |
NPI Last Update Date: | 05/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QA008848 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |