Individual
ALYSSA ANNE GLOUDEMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 738-2000
Mailing address
2420 LUPINE CT, MENASHA, WI 54952-8917
(920) 810-4737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13586-24
WI
Other
Enumeration date
08/10/2016
Last updated
01/31/2020
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