Provider Demographics
NPI:1629228499
Name:ALBERTI, LORI D (PT)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:D
Last Name:ALBERTI
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 1:455 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8274
Mailing Address - Country:US
Mailing Address - Phone:732-617-8090
Mailing Address - Fax:732-972-5458
Practice Address - Street 1:455 ROUTE 9
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8274
Practice Address - Country:US
Practice Address - Phone:732-617-8090
Practice Address - Fax:732-972-5458
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01273600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist