Provider Demographics
NPI:1114229853
Name:SKOLFIELD, ALYSSA M (DPT)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:M
Last Name:SKOLFIELD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:M
Other - Last Name:CONICELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:927 LOVERING AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-3224
Mailing Address - Country:US
Mailing Address - Phone:856-341-6749
Mailing Address - Fax:
Practice Address - Street 1:3623 SILVERSIDE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-5101
Practice Address - Country:US
Practice Address - Phone:302-529-1911
Practice Address - Fax:302-529-1916
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0002658225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist