Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant |
NPI | 1013497189 |
---|---|
Provider Name | Alyssa Palmieri |
First Address | Boca Raton, FL 33498-4716 |
Second Address | Lighthouse Point, FL 33064-7057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2018 |
Last Update Date | 17/08/2018 |