Provider Demographics
NPI:1528506144
Name:ROBSON, ALYSSA NICOLE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:NICOLE
Last Name:ROBSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 DRY MONIA RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-9709
Mailing Address - Country:US
Mailing Address - Phone:252-672-8680
Mailing Address - Fax:252-229-5422
Practice Address - Street 1:824 GUM BRANCH RD
Practice Address - Street 2:SUITE W
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-6272
Practice Address - Country:US
Practice Address - Phone:252-672-8680
Practice Address - Fax:252-229-5422
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-02
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP16873225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist