| NPI | 1689221392 |
|---|---|
| Former Name | ALYSSA MARIE JANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP045033T) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CA PT298952) | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2025-07-05 |