Provider Demographics
NPI:1467606574
Name:LELOIA, ALYSON TERESE (DPT)
Entity Type:Individual
Prefix:DR
First Name:ALYSON
Middle Name:TERESE
Last Name:LELOIA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:ALYSON
Other - Middle Name:TERESE
Other - Last Name:VITTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:11 EAGLE ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3167
Mailing Address - Country:US
Mailing Address - Phone:973-887-9000
Mailing Address - Fax:973-887-3816
Practice Address - Street 1:3219 ROUTE 46
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1278
Practice Address - Country:US
Practice Address - Phone:973-299-2199
Practice Address - Fax:973-299-2188
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPT 40QAO01202900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ179921OtherMEDICARE PTAN#