National Provider Identifier

Allysyn Marie O'Connell, PHYSICAL THERAPIST

Allysyn Marie O'Connell, PHYSICAL THERAPIST is listed in the NPPES registry with a primary specialty of Physical Therapist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1003128562Victor, NYPhysical Therapist

Profile Overview

NPI
1003128562
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
July 12, 2010
Last Updated
March 04, 2020

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 1397 Bragg St
  • Lima, NY 14485-9741

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1003128562
Entity Type
Individual
Last Name
O'Connell
First Name
Allysyn
Middle Name
Marie
Credential
PHYSICAL THERAPIST
Mailing Street Address
1397 Bragg St
Mailing City
Lima
Mailing State
NY
Mailing ZIP Code
14485-9741
Mailing Country
US
Mailing Phone
(585) 739-8963
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
July 12, 2010
Last Updated
March 04, 2020
Sex
Female
Sole Proprietor
No
Certification Date
March 04, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)