Individual provider · NPI-1

Alissa Anderson, PT, DPT

Physical Therapist · Doral, FL

NPI number1992681258
StatusActive
Last updated in NPPESAug 13, 2025

Details

NPI
1992681258
Entity type
Individual (NPI-1)
Name
Alissa Anderson
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 13, 2025
Certification date
Aug 12, 2025
Last updated
Aug 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes
225100000X Physical Therapist43569FL

Practice location

3655 Nw 107th Ave
Doral, FL 33178-4327

Phone 786-452-0774

Mailing address

61 Nw 37th Ave Apt 701
Miami, FL 33125-4875

Phone 757-773-0530

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