Individual
ALYSSA THIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6950 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2114
(215) 848-3306
Mailing address
338 FAIRMOUNT AVE, PHILADELPHIA, PA 19123-2931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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