Mrs. Alyssa Rose Marie Formyduval, MS, OTR/L, CSRS
Mrs. Alyssa Rose Marie Formyduval, MS, OTR/L, CSRS is an Occupational Therapist in East Chicago, Indiana. Licensed in Indiana. Registered with an NPI since 2018.
- Licensed in
- IN
- In the registry since
- 2018
What do these letters mean?
Practice location Address checks out
4321 Fir StEast Chicago, IN 46312-3097
Phone: (219) 392-7400
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 31005709A (IN) |
|---|
Record details
| NPI number | 1891285748 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS , OTR/L , CSRS |
| Sole proprietor | No |
| NPI enumerated | May 16, 2018 |
| Last updated in NPPES | May 16, 2018 |
Other providers in East Chicago
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Alicia Berman, OTR/L
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-
Eduardo Valle, OTR/L
4321 Fir St Fl 4, East Chicago, IN 46312-3049 · (219) 392-7799