Provider Demographics
NPI:1851755607
Name:CERA, ALEX
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:CERA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 APRIL CT
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-3233
Mailing Address - Country:US
Mailing Address - Phone:609-970-9645
Mailing Address - Fax:
Practice Address - Street 1:113 SOUTH ROUTE 73
Practice Address - Street 2:
Practice Address - City:VOORHEES TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-809-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist