Provider Demographics
NPI:1275852857
Name:CHEONG, ALISSA (DPT)
Entity Type:Individual
Prefix:
First Name:ALISSA
Middle Name:
Last Name:CHEONG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALISSA
Other - Middle Name:
Other - Last Name:PERRILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:258 SOUTHWIND DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1045
Mailing Address - Country:US
Mailing Address - Phone:925-381-1451
Mailing Address - Fax:
Practice Address - Street 1:4501 SAND CREEK RD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-8687
Practice Address - Country:US
Practice Address - Phone:925-813-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-22
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36672225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist