Individual
MRS. ALYSSA LEANNE SUBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
205 NE DARTMOOR DRIVE, WAUKEE, IA 50263
(515) 987-6267
(515) 987-6269
Mailing address
1009 DOLAN DR, GRIMES, IA 50111-1028
(515) 778-3926
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
02888
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
(0) 449579
—
IA
Enumeration date
11/17/2006
Last updated
07/08/2007
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