Provider Demographics
NPI:1407111818
Name:BERTRAN, ALISON HAYLEY (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:HAYLEY
Last Name:BERTRAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:HAYLEY
Other - Last Name:RAFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:1100 CIRCLE 75 PKWY SE STE 1400
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3067
Mailing Address - Country:US
Mailing Address - Phone:678-981-3543
Mailing Address - Fax:
Practice Address - Street 1:8611 HILLCREST AVE STE 150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-4218
Practice Address - Country:US
Practice Address - Phone:214-251-8754
Practice Address - Fax:972-499-2741
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13734225100000X
TX1228343225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist