Provider Demographics
NPI:1952572547
Name:CONNORS, ALISON MARIE (PT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:MARIE
Last Name:CONNORS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:MARIE
Other - Last Name:GARRETTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:4409 SW 6TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-7509
Mailing Address - Country:US
Mailing Address - Phone:239-549-7650
Mailing Address - Fax:
Practice Address - Street 1:1499 S BRANDYWINE CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-6775
Practice Address - Country:US
Practice Address - Phone:239-432-2798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-21
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21777225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist