Individual
ALYSSA LIVERETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
56 W FREDERICK ST, WALKERSVILLE, MD 21793-8254
(301) 898-4300
Mailing address
56 W FREDERICK ST, WALKERSVILLE, MD 21793-8254
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4074
MD
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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