Individual
ALYSSA TOTEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3540 E 46TH ST, DAVENPORT, IA 52807-3403
(563) 359-1170
Mailing address
2223 5TH STREET, EAST MOLINE, IL 61244-2425
(309) 428-1077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008821
IL
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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