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1144803495
ALYSSA DEARDORFF
MEQUON, WI
NPI
1144803495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 15375-24)
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
ALYSSA DEARDORFF DPT
13111 N PORT WASHINGTON RD STE G10
MEQUON, WI 53097-2416
Phone number: 262-243-7444
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Mailing Address
ALYSSA DEARDORFF DPT
12900 WRAYBURN RD
ELM GROVE, WI 53122-1459
Phone number:
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