| NPI | 1295137032 |
|---|---|
| Former Name | ALYSSA LAUREN GREENAWALT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33462) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011552) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2019-02-18 |