Individual
ALISE PARRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 N BROAD ST, PHILADELPHIA, PA 19123-3230
(215) 923-6031
Mailing address
1242 S GREYLOCK ST, PHILADELPHIA, PA 19143-5112
(267) 258-4101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT026569
PA
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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