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Individual
ALYSSA A DALEIDEN
Active
Individual
ALYSSA A DALEIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/ L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4897
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
413528
NATIONAL BOARD OF CERTIFICATION FOR OCCUPATIONAL THERAPY
—
01
—
4897
ALABAMA BOARD OF OCCUPATIONAL THERAPY
AL
Enumeration date
01/30/2019
Last updated
01/30/2019
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