Individual
ALYCIA SOFIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 RIDGEDALE AVE, 103, CEDAR KNOLLS, NJ 07927-2109
(973) 359-0777
(973) 359-0778
Mailing address
11 EAGLE ROCK AVE, 201, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01506800
NJ
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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