Individual
ALYSSA ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2038 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-6499
(530) 208-9910
Mailing address
2038 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-6499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
306376
CA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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