Individual
ALYSSA JEANNE NORENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8758 EGAN DR, SAVAGE, MN 55378-2561
(952) 443-9888
Mailing address
5352 47TH AVE S, MINNEAPOLIS, MN 55417-2314
(651) 592-8870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00003971
WA
225XP0200X
Pediatric Occupational Therapist
Primary
103458
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6943NO
BLUE SHIELD
WA
05
—
8432510
—
WA
Enumeration date
09/26/2005
Last updated
03/29/2017
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