Individual
ALYCE MAY EWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT259000
BLUE SHIELD
CA
05
—
PT025900
—
CA
Enumeration date
01/02/2007
Last updated
03/31/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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