Individual
ALYSSA AZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 RAASCH DR, NORFOLK, NE 68701-3455
(402) 371-2722
Mailing address
3200 RAASCH DR, NORFOLK, NE 68701-3455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3923
NE
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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