| NPI | 1003475005 |
|---|---|
| Former Name | ALYSSA BREITBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 74041) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 76475-21) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WI 8221851) | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2023-08-25 |