Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ALYSSA ROSE MARIE FORMYDUVAL, MS, OTR/L, CSRS
ActiveMRS. ALYSSA ROSE MARIE FORMYDUVAL, MS, OTR/L, CSRS is a Occupational Therapist healthcare provider located in EAST CHICAGO, Indiana. NPI 1891285748 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · EAST CHICAGO, IN
Registration Details
- NPI Number
- 1891285748
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2018 (8.2064055691267 yrs)
- Last Updated
- May 16, 2018
- License
-
31005709A (IN)
Practice Information
- Address
-
4321 FIR STEAST CHICAGO, IN, 463123097Browse IN providers · Browse ZIP 46312
- Phone
- 2193927400
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in EAST CHICAGO, IN
| Name | Credential | NPI |
|---|---|---|
| ALICIA BERMAN | OTR/L | 1235605452 |
| EDUARDO VALLE | OTR/L | 1831966688 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.