Provider Demographics
NPI:1891039301
Name:RINGUETTE, ALLISON ELISE (DPT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:ELISE
Last Name:RINGUETTE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2702 LOW CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-9771
Mailing Address - Country:US
Mailing Address - Phone:707-432-2660
Mailing Address - Fax:707-432-2661
Practice Address - Street 1:2702 LOW CT
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-9771
Practice Address - Country:US
Practice Address - Phone:707-432-2660
Practice Address - Fax:707-432-2661
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT39622225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist