Provider Demographics
NPI:1376234344
Name:ZALOUM, ALEXANDRA (OTR/L, MA, MS)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:ZALOUM
Suffix:
Gender:F
Credentials:OTR/L, MA, MS
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, MA, MS
Mailing Address - Street 1:344 PROSPECT AVE APT 8F
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2604
Mailing Address - Country:US
Mailing Address - Phone:551-486-1587
Mailing Address - Fax:
Practice Address - Street 1:1060 MAIN ST STE 302
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-2592
Practice Address - Country:US
Practice Address - Phone:201-833-0234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00861400225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist