Provider Demographics
NPI:1609179621
Name:MCALLISTER, CARYN (PT)
Entity Type:Individual
Prefix:
First Name:CARYN
Middle Name:
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SAMMIS ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06853-1513
Mailing Address - Country:US
Mailing Address - Phone:203-212-4191
Mailing Address - Fax:203-212-4191
Practice Address - Street 1:7 SAMMIS ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06853-1513
Practice Address - Country:US
Practice Address - Phone:203-212-4191
Practice Address - Fax:203-212-4191
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005578225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist