Provider Demographics
NPI:1316933328
Name:ALOSA, DENISE M (ATC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:M
Last Name:ALOSA
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 FIELDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:SO BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7565
Mailing Address - Country:US
Mailing Address - Phone:802-859-9008
Mailing Address - Fax:802-652-7006
Practice Address - Street 1:34 FIELDSTONE DR
Practice Address - Street 2:
Practice Address - City:SO BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7565
Practice Address - Country:US
Practice Address - Phone:802-859-9008
Practice Address - Fax:802-652-7006
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT104-00000172255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer