Provider Demographics
NPI:1700545431
Name:PALUZZI, ALEXANDER SCOTT (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:SCOTT
Last Name:PALUZZI
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 LAFAYETTE DR
Mailing Address - Street 2:
Mailing Address - City:CLEMENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-5110
Mailing Address - Country:US
Mailing Address - Phone:856-261-3401
Mailing Address - Fax:
Practice Address - Street 1:4 LAFAYETTE DR
Practice Address - Street 2:
Practice Address - City:CLEMENTON
Practice Address - State:NJ
Practice Address - Zip Code:08021-5110
Practice Address - Country:US
Practice Address - Phone:856-261-3401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225X00000X
NJ46TR01017400225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist