Individual
ALYSSA ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4413
Mailing address
1202 HIGHWAY 60, SOCORRO, NM 87801-3914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3561
NM
Other
Enumeration date
08/23/2016
Last updated
10/12/2020
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