Provider Demographics
NPI:1811689920
Name:HAGGAN, ALISON JOY (MS, OTR/L; NASM-CPT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:JOY
Last Name:HAGGAN
Suffix:
Gender:F
Credentials:MS, OTR/L; NASM-CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 MOUNT HOREB RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5628
Mailing Address - Country:US
Mailing Address - Phone:908-524-8152
Mailing Address - Fax:
Practice Address - Street 1:198 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2204
Practice Address - Country:US
Practice Address - Phone:732-595-7212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00670900225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty