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Individual

ALYSSA R RODAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1289 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 483-8331
(910) 483-8335
Mailing address
PO BOX 87294, FAYETTEVILLE, NC 28304-7294
(910) 483-8331
(910) 483-8335

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP-CP027853T
NC
2251P0200X
Pediatric Physical Therapist
PTL.0014261
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19270429
CO
Enumeration date
08/02/2016
Last updated
03/11/2024
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