Doctor Name: | ALICIA RIVERA-O'HARA |
NPI Number: | 1194115576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | 40QB00125000 |
Business Practice Address: | 216 Tingley Lane Edison, NJ - 08820 |
Business Phone Number: | 9088348800 |
Business Fax Number: | |
Mailing Address: | 22 Young Way, BRIDGEWATER |
State: | NJ |
Postal Code: | 088072509 |
Phone Number: | 9086422774 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2015 |
NPI Last Update Date: | 01/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QB00125000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |