ALYSSA A SHIREK

WEST FARGO, ND
NPI1215435896
Former NameALYSSA A JENKINS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MN  105100)
Enumeration Date2018-01-29
Last Update Date2018-10-16
Business Address
ALYSSA A SHIREK OT
102 W BEATON DR STE 105
WEST FARGO, ND 58078
Phone number: 701-261-4643
Mailing Address
ALYSSA A SHIREK OT
3507 EVERGREEN RD N
FARGO, ND 58102-1218
Phone number: 701-261-4643