Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Joy Requillo

Individual provider Occupational Therapist · NPI 1043967888

Alyssa Joy Requillo is an Occupational Therapist in Bloomfield, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2022.

Licensed in
NJ, NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

11 Urma Pl
Bloomfield, NJ 07003-3133
Phone: (973) 508-0205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR01029000 (NJ)
Occupational Therapist Taxonomy 225X00000X · Licence 026357 (NY)

Record details

NPI number1043967888
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2022
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022
Mailing address11 Urma Pl, Bloomfield, NJ 07003-3133

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