National Provider Identifier
Allyssa Moon, P.T.A
Allyssa Moon, P.T.A is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Rochester, NY and a listed phone number of (585) 458-7910.
Profile Overview
- NPI
- 1487959102
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- January 12, 2011
- Last Updated
- January 12, 2011
Practice Location
- 687 Lee RD
- Rochester, NY 14606-4257
Phone: (585) 458-7910
Mailing Address
- 82 Sandstone Dr
- Rochester, NY 14616-3404
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1487959102
- Entity Type
- Individual
- Last Name
- Moon
- First Name
- Allyssa
- Name Prefix
- Mrs.
- Credential
- P.T.A
- Mailing Street Address
- 82 Sandstone Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616-3404
- Mailing Country
- US
- Mailing Phone
- (585) 415-1283
- Practice Street Address
- 687 Lee RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-4257
- Practice Country
- US
- Practice Phone
- (585) 458-7910
- Enumeration Date
- January 12, 2011
- Last Updated
- January 12, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)