Individual
ALYSSA MARIE OLIVERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2155 FORD PKWY, SAINT PAUL, MN 55116-2799
(615) 696-5010
Mailing address
1167 GOODRICH AVE, SAINT PAUL, MN 55105-2727
(507) 460-9498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12238
MN
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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