Provider Demographics
NPI:1396735684
Name:PRITCHARD, ALLYSON E (PT, SCS, ATC)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:E
Last Name:PRITCHARD
Suffix:
Gender:F
Credentials:PT, SCS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 WASHINGTON RD
Mailing Address - Street 2:KELLER ARMY COMMUNITY HOSPITAL, DEPT. OF PT
Mailing Address - City:WEST POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10996-1109
Mailing Address - Country:US
Mailing Address - Phone:808-938-3067
Mailing Address - Fax:845-938-6393
Practice Address - Street 1:900 WASHINGTON RD
Practice Address - Street 2:KELLER ARMY COMMUNITY HOSPITAL, DEPT. OF PT
Practice Address - City:WEST POINT
Practice Address - State:NY
Practice Address - Zip Code:10996-1109
Practice Address - Country:US
Practice Address - Phone:808-938-3067
Practice Address - Fax:845-938-6393
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008514L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist