| NPI | 1467108779 |
|---|---|
| Former Name | ALYSSA NICOLE SLOAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070026705) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2026-05-12 |