Provider Demographics
NPI:1225118730
Name:LALLEY, THOMAS F (PT)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:LALLEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2921
Mailing Address - Country:US
Mailing Address - Phone:908-252-9700
Mailing Address - Fax:908-252-0707
Practice Address - Street 1:1 ROBERTSON DR
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-1716
Practice Address - Country:US
Practice Address - Phone:908-252-9700
Practice Address - Fax:908-325-0462
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00669600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist