Provider Demographics
NPI:1508166976
Name:ALTERRA WELLNESS, INC.
Entity Type:Organization
Organization Name:ALTERRA WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SANCHEZ-REICHERT
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:201-567-4343
Mailing Address - Street 1:135 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-2203
Mailing Address - Country:US
Mailing Address - Phone:201-567-4343
Mailing Address - Fax:201-287-0881
Practice Address - Street 1:135 COUNTY RD
Practice Address - Street 2:
Practice Address - City:CRESSKILL
Practice Address - State:NJ
Practice Address - Zip Code:07626-2203
Practice Address - Country:US
Practice Address - Phone:201-567-4343
Practice Address - Fax:201-287-0881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26BT00114100225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty