Provider Demographics
NPI:1568692358
Name:GUNZENHAEUSER, ALLISON L (PT)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:L
Last Name:GUNZENHAEUSER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:L
Other - Last Name:BRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8099 CORNELL RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249
Mailing Address - Country:US
Mailing Address - Phone:513-793-3933
Mailing Address - Fax:513-793-8299
Practice Address - Street 1:8099 CORNELL RD
Practice Address - Street 2:SUITE 201
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249
Practice Address - Country:US
Practice Address - Phone:513-793-3933
Practice Address - Fax:513-793-8299
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.012512225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist