Healthcare Provider Details

I. General information

NPI: 1396735684
Provider Name (Legal Business Name): ALLYSON E. PRITCHARD PT, SCS, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 WASHINGTON RD KELLER ARMY COMMUNITY HOSPITAL, DEPT. OF PT
WEST POINT NY
10996-1109
US

IV. Provider business mailing address

900 WASHINGTON RD KELLER ARMY COMMUNITY HOSPITAL, DEPT. OF PT
WEST POINT NY
10996-1109
US

V. Phone/Fax

Practice location:
  • Phone: 808-938-3067
  • Fax: 845-938-6393
Mailing address:
  • Phone: 808-938-3067
  • Fax: 845-938-6393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT008514L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: