Individual
ALYSSA ALLEN
Active
Individual
ALYSSA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
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
Update your record
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