Individual
ALYSSA GRACE BEVACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 YAWPO AVE STE 10, OAKLAND, NJ 07436-2717
(201) 337-3307
Mailing address
241 DIVISION AVE, HASBROUCK HEIGHTS, NJ 07604-1719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02356000
NJ
Other
Enumeration date
09/10/2025
Last updated
10/24/2025
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