MEDICARE: MRS. ALLISON MARILOU STRANDE 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
1	2251P0200X	Pediatric Physical Therapist	6769	NV

General Provider Information

NPI Number	:	1740177732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLISON MARILOU STRANDE DPT

Provider Business Mailing Address
First Line	:	5623 RICOCHET AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-3821
Country	:	US
Telephone Number	:	702-418-4183
Fax Number	:

Provider Business Practice Location Address
First Line	:	5623 RICOCHET AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-3821
Country	:	US
Telephone Number	:	702-418-4183
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2025
Last Update Date	:	06/21/2025

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