Individual
ALYSSA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
114 S TRYON ST, CHARLOTTE, NC 28202-2149
(980) 729-5400
(704) 632-3998
Mailing address
1730 DICKERSON BLVD STE D, MONROE, NC 28110-2884
(704) 283-6700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17703
NC
2251X0800X
Orthopedic Physical Therapist
17703
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P17703
PT PROFESSIONALLICENSE
NC
Enumeration date
02/27/2018
Last updated
02/24/2020
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