Provider Demographics
NPI:1326416686
Name:DUFFY, ALLIE ELIZABETH (DPT)
Entity Type:Individual
Prefix:DR
First Name:ALLIE
Middle Name:ELIZABETH
Last Name:DUFFY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALLIE
Other - Middle Name:ELIZABETH
Other - Last Name:LEBLANC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2 ALPINE ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-2790
Mailing Address - Country:US
Mailing Address - Phone:617-718-0181
Mailing Address - Fax:
Practice Address - Street 1:2 ALPINE ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2790
Practice Address - Country:US
Practice Address - Phone:617-718-0181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-03
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21901225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist