Individual
ALYSSA HIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1161 CIRBY WAY, ROSEVILLE, CA 95661-4421
(916) 782-1238
Mailing address
1033 KENSINGTON DR, ROSEVILLE, CA 95661-5310
(951) 505-0085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
291853
CA
Other
Enumeration date
09/16/2016
Last updated
08/31/2021
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