Provider Demographics
NPI:1396412896
Name:MCMENAMY, ALISON ENGLISH (DPT)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:ENGLISH
Last Name:MCMENAMY
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 1:11987 TREVALLY LOOP APT 108
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-0055
Mailing Address - Country:US
Mailing Address - Phone:239-770-7332
Mailing Address - Fax:
Practice Address - Street 1:10015 TRINITY BLVD
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-4589
Practice Address - Country:US
Practice Address - Phone:727-203-3760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL37631225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist