Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Brodeur

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720625288

Alyssa Brodeur is a Student in an Organized Health Care Education/Training Program in Prince Frederick, Maryland. Works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2019
Specialties on file
2

Practice location Address checks out

110 Main St
Prince Frederick, MD 20678
Phone: (410) 535-9850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10388 Southern Maryland Blvd, Dunkirk, MD 20754-3030 — (301) 327-5826

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 28108 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720625288
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2019
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing addressPo Box 492, Huntingtown, MD 20639-0492

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