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General NPI Number Information
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NPI Number | 1821495102
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Entity Type | Individual
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Provider Name | ALISSA WOLFE ROSELL PT, DPT, OMPT, OCS,
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Gender | Female
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Dates
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Enumeration Date | 12/02/2014
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 2257 N LOOP 336 W SUITE 140 PMB 1029
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City | CONROE
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State | TX
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Zip | 77304
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Country | US
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Telephone | 832-378-7257
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Fax |
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Provider Business Mailing Address
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Address Line | 2257 N LOOP 336 W SUITE 140 PMB 1029
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City | CONROE
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State | TX
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Zip | 77304
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Country | US
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Telephone | 323-787-2578
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | T04095
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT-4291
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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