| NPI | 1831618602 |
|---|---|
| Former Name | ALYSSA ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05013954A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 007140) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2024-06-27 |