Individual
DR. ALYSSA CATHERINE LAFORME FISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, PHD, PCS
Contact information
Practice address
22 COOPERS GLEN DR SW, MABLETON, GA 30126-2584
(859) 221-4509
Mailing address
22 COOPERS GLEN DR SW, MABLETON, GA 30126-2584
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT-004517
KY
2251P0200X
Pediatric Physical Therapist
Primary
PT009001
GA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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