Provider Demographics
NPI:1801995956
Name:ANKIEWICZ, ALISON (DPT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:ANKIEWICZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 ROUTE 35
Mailing Address - Street 2:PLAZA 2 SUITE 102
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3537
Mailing Address - Country:US
Mailing Address - Phone:732-508-9926
Mailing Address - Fax:732-508-9928
Practice Address - Street 1:1300 ROUTE 35
Practice Address - Street 2:PLAZA 2 SUITE 102
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712
Practice Address - Country:US
Practice Address - Phone:732-508-9926
Practice Address - Fax:732-508-9928
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00994800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist