Provider Demographics
NPI:1972567097
Name:ALLEN, NAIOMI ROW (PT)
Entity Type:Individual
Prefix:
First Name:NAIOMI
Middle Name:ROW
Last Name:ALLEN
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 1:730 LACEY RD
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-1300
Mailing Address - Country:US
Mailing Address - Phone:609-978-8957
Mailing Address - Fax:609-693-5257
Practice Address - Street 1:730 LACEY RD
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:NJ
Practice Address - Zip Code:08731-1300
Practice Address - Country:US
Practice Address - Phone:609-978-8957
Practice Address - Fax:609-693-5257
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA01103200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist