Individual
ALYSSA A DALEIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/ L
Contact information
Practice address
12000 TURNMEYER DR SE, HUNTSVILLE, AL 35803-3358
(602) 501-1037
Mailing address
110 WASHINGTON ST NE APT 413, HUNTSVILLE, AL 35801-8838
(602) 501-1037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4897
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
413528
NATIONAL BOARD OF CERTIFICATION FOR OCCUPATIONAL THERAPY
—
01
—
4897
ALABAMA BOARD OF OCCUPATIONAL THERAPY
AL
Enumeration date
01/30/2019
Last updated
01/30/2019
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