Individual
ALISSA LAUREN KNICKERBOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2450 E RIVER RD, TUCSON, AZ 85718-6526
(520) 795-7750
Mailing address
2450 E RIVER RD, TUCSON, AZ 85718-6526
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA13072
AZ
237600000X
Audiologist-Hearing Aid Fitter
DA13072
AZ
Other
Enumeration date
06/18/2021
Last updated
08/11/2022
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