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NPI Code Detail

MEDICARE: ALISSA COONEY

MEDICARE: ALISSA COONEY
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
12251P0200XPediatric Physical TherapistP25000NC

General Provider Information

NPI Number : 1992474928
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISSA COONEY
Provider Business Mailing Address
First Line : 4 DAMASCUS WAY
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-3910
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2301 ERWIN RD
Second Line :
City : DURHAM
State : NC
Zip : 27705-4699
Country : US
Telephone Number : 855-855-6484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2021
Last Update Date : 05/29/2026

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Directions to “ ALISSA COONEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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