Provider Demographics
NPI:1417991944
Name:ALLONARDO, AMY (PT)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:ALLONARDO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 W SHERMAN AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6931
Mailing Address - Country:US
Mailing Address - Phone:856-696-5656
Mailing Address - Fax:856-696-2237
Practice Address - Street 1:242 W LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8109
Practice Address - Country:US
Practice Address - Phone:856-368-2550
Practice Address - Fax:856-210-7110
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00912300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ092023AQVMedicare ID - Type Unspecified