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NPI Code Detail

MEDICARE: ALLISON MARIE DASARI DPT

MEDICARE: ALLISON MARIE DASARI DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT60025162WA
2225100000XPhysical Therapist9162MN

General Provider Information

NPI Number : 1205085131
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON MARIE DASARI DPT
Provider Business Mailing Address
First Line : 1700 UNIVERSITY AVE W
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-3727
Country : US
Telephone Number :
Fax Number : 612-884-3592
Provider Business Practice Location Address
First Line : 1390 UNIVERSITY AVE W
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-4001
Country : US
Telephone Number : 651-232-5412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2008
Last Update Date : 03/16/2022

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