Provider Demographics
NPI:1174967640
Name:MORSE, ALISON (DPT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:MORSE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 VONDERBURG DR SUITE 204
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511
Mailing Address - Country:US
Mailing Address - Phone:863-617-9400
Mailing Address - Fax:863-688-9858
Practice Address - Street 1:3520 VICTORIA MANOR LN
Practice Address - Street 2:APT 307
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-2947
Practice Address - Country:US
Practice Address - Phone:321-438-6322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26501225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist