Provider Demographics
NPI:1124715974
Name:CLODFELTER, ALISON CHAPEL (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:CHAPEL
Last Name:CLODFELTER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 NJ RT 28
Mailing Address - Street 2:BUILDING 1, SUITE 204A
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869
Mailing Address - Country:US
Mailing Address - Phone:908-543-4390
Mailing Address - Fax:
Practice Address - Street 1:575 NJ RT 28
Practice Address - Street 2:BUILDING 1, SUITE 204A
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869
Practice Address - Country:US
Practice Address - Phone:908-543-4390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA019390002251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics