Individual
ALYSSA DEARDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13111 N PORT WASHINGTON RD STE G10, MEQUON, WI 53097-2416
(262) 243-7444
Mailing address
12900 WRAYBURN RD, ELM GROVE, WI 53122-1459
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15375-24
WI
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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