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NPI Code Detail

MEDICARE: ALYSSA GERMANOS OTR/L

MEDICARE:   ALYSSA  GERMANOS  OTR/L
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 Therapist22708CA

General Provider Information

NPI Number : 1184399826
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA GERMANOS OTR/L
Provider Business Mailing Address
First Line : 606 WASHINGTON ST APT 214
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2374
Country : US
Telephone Number : 757-969-2470
Fax Number :
Provider Business Practice Location Address
First Line : 4100 NORMAL ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2653
Country : US
Telephone Number : 619-725-5501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2021
Last Update Date : 04/06/2026

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Directions to “ ALYSSA GERMANOS OTR/L” Practice Location

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