Individual
ALYSSA SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
350 PARRISH ST, CANANDAIGUA, NY 14424-1731
(585) 396-6067
Mailing address
7361 HICKORY LEAF LN APT G, VICTOR, NY 14564-9438
(585) 729-5491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042087
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042087
NYS PHYSICAL THERAPY LICENSE
NY
Enumeration date
01/23/2020
Last updated
11/27/2023
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