# ALYSSA A DALEIDEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275097602
- **Gender:** F
- **Credential:** OTR/ L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 4897 | AL | Yes |

## Other

- **Enumeration date:** 01/30/2019
- **Last updated:** 01/30/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 413528 | NATIONAL BOARD OF CERTIFICATION FOR OCCUPATIONAL THERAPY | — |
| 01 | — | 4897 | ALABAMA BOARD OF OCCUPATIONAL THERAPY | AL |