Individual
ALYSE ANN WIDGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
455 CHESTNUT ST, MEADVILLE, PA 16335-4404
(814) 547-6510
(814) 547-6511
Mailing address
1257 CARMONT DR, MEADVILLE, PA 16335-2822
(814) 671-8353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT024250
PA
225100000X
Physical Therapist
PT26514
FL
Other
Enumeration date
02/02/2012
Last updated
08/09/2016
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