Alexandra Julia Ali

Individual provider Active NPI Athletic Trainer · Holmdel, NJ

NPI 1396370516 · NPPES record last updated Mar 9, 2020

Key facts

NPI
1396370516
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
2080 State Route 35
Holmdel, NJ 07733
Phone
(732) 671-1112
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

2080 State Route 35
Holmdel, NJ 07733

Mailing address

58 Imbrook Lane
Matawan, NJ 07747
Phone (908) 461-6479

Other providers in Holmdel, NJ

All providers in Holmdel, NJ · Athletic Trainer in New Jersey

Sources for this page

Verify at the official NPI Registry.