MEDICARE: ALYSSA BRESLIN PT

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	2251N0400X	Neurology Physical Therapist
2	225100000X	Physical Therapist	296611	CA

General Provider Information

NPI Number	:	1861983835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA BRESLIN PT

Provider Business Mailing Address
First Line	:	3519 43RD ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-3731
Country	:	US
Telephone Number	:	707-477-0063
Fax Number	:

Provider Business Practice Location Address
First Line	:	3519 43RD ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-3731
Country	:	US
Telephone Number	:	707-477-0063
Fax Number	:

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

Provider Enumeration Date	:	05/24/2018
Last Update Date	:	01/14/2025

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Directions to “ ALYSSA BRESLIN PT” Practice Location

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