Individual
ALEXANDRA MINKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 MADISON AVE, MORRISTOWN, NJ 07960-7330
(973) 540-9800
Mailing address
206 SPRING RIDGE DR, BERKELEY HEIGHTS, NJ 07922-2052
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01020800
NJ
225X00000X
Occupational Therapist
OC014611
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770031270
—
PA
Enumeration date
09/14/2016
Last updated
09/30/2021
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