Individual
ALYSSA KIEVIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
15 GODWIN AVE, RIDGEWOOD, NJ 07450-3739
(201) 497-0117
Mailing address
15 GODWIN AVE, RIDGEWOOD, NJ 07450-3739
(201) 497-0117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01880500
NJ
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/27/2019
Last updated
06/29/2023
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