IndividualActive
Alyssa Requillo
NPI 1043967888 · Occupational Therapist · Bloomfield, NJ
Provider details
- NPI number
- 1043967888
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 026357 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
11 Urma Pl
Bloomfield, NJ 07003-3133
Phone: (973) 508-0205
Approximate (ZIP-level) locationGet directions
Mailing address
11 Urma Pl
Bloomfield, NJ 07003-3133
Registry dates
- Enumerated
- 2022-03-02
- Last updated
- 2022-03-02
- Certified
- 2022-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.