DR. ALYSSA CATHERINE LAFORME FISS


Address: 22 Coopers Glen Dr Sw, Mableton, GA 30126-2584
Phone: 8592214509

DR. ALYSSA CATHERINE LAFORME FISS (NPI# 1679659221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679659221
Entity Type Individual
Full Name DR. ALYSSA CATHERINE LAFORME FISS
Credential PT, PHD, PCS
Practice Address 22 Coopers Glen Dr Sw
Mableton
GA 30126-2584
Practice Telephone 8592214509
Enumeration Date 2006-10-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251P0200X Physical Therapist
Specialization: Pediatrics
PT009001 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2251P0200X Physical Therapist
Specialization: Pediatrics
PT-004517 KY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 22 COOPERS GLEN DR SW
City MABLETON
State GA
Zip Code 30126-2584

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Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City MABLETON
Zip Code 30126

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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