Organization
ALTA REHAB LLC
Active
Other names
Alta Pediatrics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ALYSSA HURLEY OT (OCCUPATIONAL THERAPIST)
(908) 312-9476
Entity
Organization
Contact information
Practice address
1801 E 2ND ST, SCOTCH PLAINS, NJ 07076-1749
(908) 312-9476
Mailing address
1801 E 2ND ST, SCOTCH PLAINS, NJ 07076-1749
(908) 312-9476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/08/2019
Last updated
09/11/2023
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