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NPI Code Detail

MEDICARE: ALLISON REISS DPT

MEDICARE:   ALLISON  REISS  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
1208100000XPhysical Medicine & Rehabilitation PhysicianPT 27673FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821493644
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON REISS DPT
Provider Business Mailing Address
First Line : 1844 N UNIVERSITY DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-6031
Country : US
Telephone Number : 954-255-1515
Fax Number :
Provider Business Practice Location Address
First Line : 1844 N UNIVERSITY DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-6031
Country : US
Telephone Number : 954-255-1515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2014
Last Update Date : 10/23/2014

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Directions to “ ALLISON REISS DPT” Practice Location

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