Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDER T MISCANNON
ActiveALEXANDER T MISCANNON is a Physical Therapy Assistant healthcare provider located in RIVERTON, New Jersey. NPI 1750939799 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · RIVERTON, NJ
Registration Details
- NPI Number
- 1750939799
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2019 (6.7995898789765 yrs)
- Last Updated
- Sep 3, 2021
- Licenses
-
40QA01942800 (NJ)PT028019 (PA)
Practice Information
- Address
-
600 MAIN STSTE 8RIVERTON, NJ, 080771400Browse NJ providers · Browse ZIP 08077
- Phone
- 8563605630
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.