| NPI | 1104198431 |
|---|---|
| Former Name | ALYSE ANN PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024250) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26514) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2016-08-09 |