Provider Demographics
NPI:1407280878
Name:RICHMAN, ALEXANDRA R (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:R
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1561 ROUTE 38
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-2939
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1561 ROUTE 38
Practice Address - Street 2:SUITE 5
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-2939
Practice Address - Country:US
Practice Address - Phone:609-261-5656
Practice Address - Fax:609-261-6432
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01510800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist