Alyssa Lake

NPI #1235471673 in Ogallala, Nebraska

Provider Information

NPI Number
1235471673
Entity Type
Individual
Name
Alyssa Lake
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Mar 25, 2013
Last Updated
Mar 25, 2013

Practice Location

Address
1720 N SPRUCE ST
ZIP Code
69153-3307
Phone
(308) 284-4068

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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