Alieza Formilleza

NPI #1235394925 in Albany, Oregon

Provider Information

NPI Number: 1235394925
Entity Type: Individual
Name: Alieza Formilleza
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jul 23, 2008
Last Updated: Jul 23, 2008

Practice Location

Address: 2430 OAK ST SE APT 8
City: Albany
State: Oregon
ZIP Code: 97322-5692
Phone: (410) 428-7225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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