Individual
ALYSSA DREE IDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 CHARLES LN, MARYSVILLE, OH 43040-9797
(937) 645-4196
Mailing address
1280 CHARLES LN, MARYSVILLE, OH 43040-9797
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009619
OH
Other
Enumeration date
03/06/2017
Last updated
09/04/2025
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