Individual
DR. ALYSSA FULLER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4016 CASSIMER AVE, DIBERVILLE, MS 39540-2309
(228) 280-8120
Mailing address
4016 CASSIMER AVE, DIBERVILLE, MS 39540-2309
(228) 280-8120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6828
MS
Other
Enumeration date
12/02/2019
Last updated
08/23/2023
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