Individual
ALVARO ROBINSON PRIETO VILLARRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
200 FRANK W BURR BLVD, TEANECK, NJ 07666-6728
(551) 449-0135
Mailing address
200 FRANK W BURR BLVD, TEANECK, NJ 07666-6728
(551) 449-0135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
09/28/2022
Last updated
10/10/2022
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