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NPI Code Detail

MEDICARE: ALYSSA PFEIL

MEDICARE: ALYSSA PFEIL
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
1225200000XPhysical Therapy AssistantTEI005081PA

General Provider Information

NPI Number : 1679166235
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA PFEIL
Provider Business Mailing Address
First Line : 27 S HAZLE BROOK RD
Second Line :
City : HAZLETON
State : PA
Zip : 18201-8202
Country : US
Telephone Number : 570-578-4673
Fax Number :
Provider Business Practice Location Address
First Line : 200 PENNSYLVANIA AVE
Second Line :
City : SHENANDOAH
State : PA
Zip : 17976-1332
Country : US
Telephone Number : 570-462-1921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2021
Last Update Date : 02/15/2021

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Directions to “ ALYSSA PFEIL ” Practice Location

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