Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | ||
N | 225100000X | Physical Therapist | 8474 | SC |
N | 225100000X | Physical Therapist | PTL.0012198 | CO |
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1043641590 |
---|---|
Provider Name | Allison Rae Ossege-Lusk |
First Address | Tallahassee, FL 32311-3705 |
Second Address | Tallahassee, FL 32311-3705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2013 |
Last Update Date | 02/09/2021 |