Individual
ALYSSA BULLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
Mailing address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001203
IA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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