Provider Demographics
NPI:1336856624
Name:ENGEL, ALYSSA (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:
Last Name:ENGEL
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:BLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4418 MCDOWELL RUN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3853
Mailing Address - Country:US
Mailing Address - Phone:615-839-1609
Mailing Address - Fax:
Practice Address - Street 1:4418 MCDOWELL RUN
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3853
Practice Address - Country:US
Practice Address - Phone:615-839-1609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-04
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist