Deardorff, Alissa

Deardorff, Alissa is an individual health care provider with primary practice located at 15301 Grove Cir N , Maple Grove MN 55369-4475. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Deardorff, Alissa can be contacted via phone (952) 993-5900.

Contact Information

Primary practice address
15301 Grove Cir N Maple Grove MN 55369-4475
Phone: (952) 993-5900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1528693785
LBN Legal business name Deardorff, Alissa
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2020
Last updated Jan 4th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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