Individual
ALISSA KOENIG
Active
Individual
ALISSA KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2599
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2599
ND PHYSICAL THERAPY LICENSE
ND
Enumeration date
12/21/2020
Last updated
10/20/2022
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