Individual
ALISSA MAXINE WEIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(260) 804-8444
Mailing address
8060 WOODHUE RD, DALLAS, TX 75228-5906
(260) 804-8444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06005307A
IN
225200000X
Physical Therapy Assistant
Primary
2145265
TX
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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