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NPI Code Detail

MEDICARE: ALYSSA BURKITT PT, DPT

MEDICARE: ALYSSA BURKITT PT, 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 Therapist302529CA

General Provider Information

NPI Number : 1528796133
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA BURKITT PT, DPT
Provider Business Mailing Address
First Line : 1488 PIONEER WAY STE 13
Second Line :
City : EL CAJON
State : CA
Zip : 92020-1633
Country : US
Telephone Number : 858-755-5200
Fax Number : 619-343-3514
Provider Business Practice Location Address
First Line : 2690 VIA DE LA VALLE STE D160
Second Line :
City : DEL MAR
State : CA
Zip : 92014-1991
Country : US
Telephone Number : 858-290-0855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2022
Last Update Date : 09/20/2024

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