Individual
ALYSSIA RAE FERONTI MAZZONI
Active
Individual
ALYSSIA RAE FERONTI MAZZONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT609
MEDICARE
FL
Enumeration date
01/04/2022
Last updated
11/21/2023
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