Provider Demographics
NPI:1184841884
Name:DIPALMA, ALISON THERESA (PT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:THERESA
Last Name:DIPALMA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:THERESA
Other - Last Name:DECAPRIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:451 NORTH HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-1555
Mailing Address - Country:US
Mailing Address - Phone:203-466-6850
Mailing Address - Fax:203-466-6852
Practice Address - Street 1:451 NORTH HIGH STREET
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512-1555
Practice Address - Country:US
Practice Address - Phone:203-466-6850
Practice Address - Fax:203-466-6852
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
CT008073225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist