Doctor Name: | ALLYSON DORA BERUBE |
NPI Number: | 1952459067 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 40QA01170800 |
Business Practice Address: | 100 Park Ave Suite 4 Hillsdale, NJ - 076422057 |
Business Phone Number: | 2012630001 |
Business Fax Number: | 2012630002 |
Mailing Address: | 11 Eagle Rock Ave, 2nd Floor EAST HANOVER |
State: | NJ |
Postal Code: | 079363101 |
Phone Number: | 9738879000 |
Fax Number: | 9738873816 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 09/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01170800 |
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 |