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:
Health care specialties
| Specialty | Code | License # | 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 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619420015 | NPPES |
| Colorado | MEDICAID | 19270429 |
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