Rodak, Alyssa R

Rodak, Alyssa R is an individual health care provider with primary practice located at 1289 Oliver St , Fayetteville NC 28304-4450. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Rodak, Alyssa R can be contacted via phone (910) 483-8331.

Contact Information

Primary practice address
1289 Oliver St Fayetteville NC 28304-4450
Phone: (910) 483-8331
Fax: (910) 483-8335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PTL.0014261 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X CP-CP027853T North Carolina

Profile Details

NPI number 1619420015
LBN Legal business name Rodak, Alyssa R
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2016
Last updated Mar 11th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619420015 NPPES
Colorado MEDICAID 19270429

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