Individual
ALLYSSA SPACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 WOODLAND RD, PITTSBURGH, PA 15232-2871
(412) 365-1100
Mailing address
2716 JANE ST APT 2, PITTSBURGH, PA 15203-2396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
PA
2255A2300X
Athletic Trainer
Primary
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
11/22/2025
Last updated
11/22/2025
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