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NPI Code Detail

MEDICARE: MISS ALIS MARIE TORTORELLI PT, DPT

MEDICARE:  MISS ALIS MARIE TORTORELLI  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 TherapistPT 60295371WA

General Provider Information

NPI Number : 1649521378
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALIS MARIE TORTORELLI PT, DPT
Provider Business Mailing Address
First Line : 3900 DEEMER RD
Second Line : #308
City : BELLINGHAM
State : WA
Zip : 98226-8035
Country : US
Telephone Number : 509-939-1521
Fax Number :
Provider Business Practice Location Address
First Line : 2001 H ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-3226
Country : US
Telephone Number : 360-671-3660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2012
Last Update Date : 09/20/2012

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Directions to “ MISS ALIS MARIE TORTORELLI PT, DPT” Practice Location

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