Provider Demographics
NPI:1649597584
Name:DELESSIO, ALISON ALANE (MS PT)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:ALANE
Last Name:DELESSIO
Suffix:
Gender:F
Credentials:MS PT
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Mailing Address - Street 1:11 ELM ST
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02835-1245
Mailing Address - Country:US
Mailing Address - Phone:401-560-0421
Mailing Address - Fax:
Practice Address - Street 1:350 KINGSTOWN RD
Practice Address - Street 2:SUITE 204
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-3262
Practice Address - Country:US
Practice Address - Phone:401-782-2229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT01340225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist