Provider Demographics
NPI:1619111267
Name:ETTER, ALYSON STEFANIE (BS, DPT)
Entity Type:Individual
Prefix:MRS
First Name:ALYSON
Middle Name:STEFANIE
Last Name:ETTER
Suffix:
Gender:F
Credentials:BS, DPT
Other - Prefix:MS
Other - First Name:ALYSON
Other - Middle Name:STEFANIE
Other - Last Name:ETTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, DPT
Mailing Address - Street 1:47 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2931
Mailing Address - Country:US
Mailing Address - Phone:845-304-5740
Mailing Address - Fax:
Practice Address - Street 1:47 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2931
Practice Address - Country:US
Practice Address - Phone:845-304-5740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031150-12251P0200X
DEJ100022512251P0200X
PAPT0218412251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics