Individual
MISS ALYSSA A FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11570 E 126TH ST, FISHERS, IN 46037-9592
(317) 985-0118
Mailing address
8350 GALLEY CT, INDIANAPOLIS, IN 46236-8855
(317) 985-0118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004309A
IN
Other
Enumeration date
10/23/2007
Last updated
03/26/2022
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