Individual
ALYSSA HEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, DPT
Contact information
Practice address
1220 N HWY A1A, INDIALANTIC, FL 32903-2848
(321) 421-7117
Mailing address
6300 N WICKHAM RD STE 133B, MELBOURNE, FL 32940-2029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37594
FL
2255A2300X
Athletic Trainer
AL4882
FL
Other
Enumeration date
03/28/2018
Last updated
08/23/2021
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