Provider Demographics
NPI:1902966427
Name:ALMEDA, TESSA MYRA CANTADO (DPT)
Entity Type:Individual
Prefix:DR
First Name:TESSA MYRA
Middle Name:CANTADO
Last Name:ALMEDA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:TESSA
Other - Middle Name:M
Other - Last Name:CANTADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:743 NORTHFIELD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1158
Mailing Address - Country:US
Mailing Address - Phone:973-669-8300
Mailing Address - Fax:973-669-8333
Practice Address - Street 1:743 NORTHFIELD AVE STE 2
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1158
Practice Address - Country:US
Practice Address - Phone:973-669-8300
Practice Address - Fax:973-669-8333
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPT40QA01003600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist