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NPI Code Detail

MEDICARE: ALYSSA KOPP

MEDICARE:   ALYSSA  KOPP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist26415CA

General Provider Information

NPI Number : 1922755305
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA KOPP
Provider Business Mailing Address
First Line : 320 TESCONI CIR STE G
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4611
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 320 TESCONI CIR STE G
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4611
Country : US
Telephone Number : 707-544-2637
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2022
Last Update Date : 05/18/2026

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Directions to “ ALYSSA KOPP ” Practice Location

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