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Individual

ALYSSA UNTERINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 GREEN BAY ST, LA CROSSE, WI 54601-6455
(608) 784-8125
Mailing address
4328 MARYLAND AVE APT 3, SAINT LOUIS, MO 63108-2776
(906) 361-9918

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14438-24
WI
225100000X
Physical Therapist
2020007690
MO

Other

Enumeration date
08/20/2018
Last updated
02/09/2021
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