Individual
ALYSON M DONDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8836 TYLER BLVD, MENTOR, OH 44060-4361
(440) 255-9553
(440) 255-9563
Mailing address
8836 TYLER BLVD, MENTOR, OH 44060-4361
(440) 255-9553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 008741
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2600260
—
OH
01
—
9350121
MEDICARE GROUP PTAN
OH
Enumeration date
07/17/2006
Last updated
06/24/2014
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