Individual
MRS. ALISSA M OSTHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 N INDIANA AVE STE A, ENGLEWOOD, FL 34223-2756
(941) 460-8709
Mailing address
500 GLEN OAK RD, VENICE, FL 34293-1110
(941) 979-6847
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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