Individual
ALYSSA DERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2683 PALMER ST STE B, MISSOULA, MT 59808-1757
(406) 214-3131
Mailing address
3759 CROSSCLIFFE PATH, ROSEMOUNT, MN 55068-6173
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-10655
MT
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
08/31/2023
Last updated
02/23/2024
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