Individual
ALISSA KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1461 BROADWAY N, FARGO, ND 58102-2622
(701) 293-6037
Mailing address
9047 W. GREENFIELD AVE., MILWAUKEE, WI 53214
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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