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Individual

ALYSSA CHISHOLM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6635 W HAPPY VALLEY RD STE A104-218, GLENDALE, AZ 85310-2609
(602) 810-2207
Mailing address
18606 N IONA CT, SUN CITY WEST, AZ 85375-5261
(602) 810-2207

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-010155
AZ
225X00000X
Occupational Therapist

Other

Enumeration date
08/07/2025
Last updated
11/13/2025
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