Individual
ALISSA MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 JACOBS WAY, GREENSBURG, PA 15601-4971
(724) 331-9043
Mailing address
231 JACOBS WAY, GREENSBURG, PA 15601-4971
(724) 331-9043
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT-007171-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225100000X
—
PA
Enumeration date
06/05/2014
Last updated
06/05/2014
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