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Contact Information

ALYSA M EZEIRUAKU, MPT
542 BERLIN CROSS KEYS RD
WINSLOW PLAZA SUITE 1
SICKLERVILLE, NJ08081-4367
 Phone: 856-740-0009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ALYSA M EZEIRUAKU · (Female)

NPI # 1740391788
Status Active
Credentials MPT (Master of Physical Therapy)
Entity Individual
Enumeration date 08/31/2006
Last updated 01/29/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 40QA01213200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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