Provider Demographics
NPI:1689335606
Name:DISOMMA, AISLINN (DPT)
Entity Type:Individual
Prefix:
First Name:AISLINN
Middle Name:
Last Name:DISOMMA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:AISLINN
Other - Middle Name:
Other - Last Name:DOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:438 PELLIS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7900
Mailing Address - Country:US
Mailing Address - Phone:724-850-7587
Mailing Address - Fax:724-850-8329
Practice Address - Street 1:1748 JANCEY ST STE B
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1100
Practice Address - Country:US
Practice Address - Phone:412-404-8234
Practice Address - Fax:412-404-8489
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029794225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist