Individual
MRS. ALYSSA NICOLE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3 W OXFORD PL, MOUNT PROSPECT, IL 60056-1024
(502) 287-2661
Mailing address
3 W OXFORD PL, MOUNT PROSPECT, IL 60056-1024
(502) 287-2661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.025725
IL
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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