Basic Information
| Provider Information | |||||||||
| NPI: | 1154726206 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RODZEWICH | ||||||||
| FirstName: | ALYSSA | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 207 ADAMS ST | ||||||||
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| City: | FREELAND | ||||||||
| State: | PA | ||||||||
| PostalCode: | 182242103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5709569262 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1097 N CHURCH ST | ||||||||
| Address2: | |||||||||
| City: | HAZLE TOWNSHIP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 182021465 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2014 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT025818 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.