Provider Demographics
NPI:1578531281
Name:ROSSWURM, ALISON JEANNE (MPT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:JEANNE
Last Name:ROSSWURM
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 STOCKTON DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-2026
Mailing Address - Country:US
Mailing Address - Phone:513-226-8712
Mailing Address - Fax:
Practice Address - Street 1:7720 DUDLEY DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2400
Practice Address - Country:US
Practice Address - Phone:513-779-5410
Practice Address - Fax:513-779-5413
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10008225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist