Individual
ALENA VIROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 N WOOD AVE STE 3, LINDEN, NJ 07036-4000
(908) 925-9700
(908) 663-2551
Mailing address
822 N WOOD AVE STE 3, LINDEN, NJ 07036-4000
(908) 925-9700
(908) 663-2551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00303400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QB00303400
STATE BOARD OF PHYSICAL THERAPY
NJ
Enumeration date
09/16/2020
Last updated
09/16/2020
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