Most Relevant Information
Provider Data
| NPI Number: | 1003416355 |
| Provider Name: | GINA ALYSSA CAFONE OT-C |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZX2200X |
| Specialty: | Specialist/Technologist, Other |
| License Number: | 20-0613 |
Most Important Dates
| Enumeration Date: | 10/27/2020 |
| Last Updated: | 10/27/2020 |
Provider Practice Location
2339 ROUTE 70 W FL 2
CHERRY HILL
NJ
080023315
Practice Location Phone/Fax
| Phone: | 8565470201 |
| Fax: |
Provider Mailing Location
3 COOPER PLZ RM 408
CAMDEN
NJ
081031438
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |