Provider Demographics
NPI:1649392630
Name:TORRES, ANNALISA DORY SR (MSPT)
Entity Type:Individual
Prefix:MISS
First Name:ANNALISA
Middle Name:DORY
Last Name:TORRES
Suffix:SR
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3324 MARVIN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-2133
Mailing Address - Country:US
Mailing Address - Phone:216-661-0669
Mailing Address - Fax:
Practice Address - Street 1:18621 NEFF RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44119-3018
Practice Address - Country:US
Practice Address - Phone:216-486-0268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH010460225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist