Provider Demographics
NPI:1629159579
Name:D'ALESSANDRO, DESIREE (D C)
Entity Type:Individual
Prefix:DR
First Name:DESIREE
Middle Name:
Last Name:D'ALESSANDRO
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404 HORSE SHOE PIKE
Mailing Address - Street 2:
Mailing Address - City:GLENMOORE
Mailing Address - State:PA
Mailing Address - Zip Code:19343-1143
Mailing Address - Country:US
Mailing Address - Phone:610-942-9990
Mailing Address - Fax:610-942-4174
Practice Address - Street 1:1404 HORSE SHOE PIKE
Practice Address - Street 2:
Practice Address - City:GLENMOORE
Practice Address - State:PA
Practice Address - Zip Code:19343-1143
Practice Address - Country:US
Practice Address - Phone:610-942-9990
Practice Address - Fax:610-942-4174
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor