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Individual

ALYSSA VANPATTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
180 W CLARKE ST APT 12, MANCHESTER, NH 03104-2449
(518) 956-1803
(603) 222-4091
Mailing address
180 W CLARKE ST APT 12, MANCHESTER, NH 03104-2449
(518) 956-1803
(603) 222-4091

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
2000006325
NY

Other

Enumeration date
01/25/2016
Last updated
01/25/2016
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